Provider Demographics
NPI:1851897474
Name:REED, JAMI MICHELLE
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:MICHELLE
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 NW 164TH STREET
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1227
Mailing Address - Country:US
Mailing Address - Phone:405-276-8076
Mailing Address - Fax:405-276-8077
Practice Address - Street 1:2256 NW 164TH
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1227
Practice Address - Country:US
Practice Address - Phone:405-276-8076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner