Provider Demographics
NPI:1881401214
Name:REED, JANICE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
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 1:1920 SHILLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-7644
Mailing Address - Country:US
Mailing Address - Phone:336-929-5212
Mailing Address - Fax:
Practice Address - Street 1:1920 SHILLINGTON DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-7644
Practice Address - Country:US
Practice Address - Phone:336-929-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No172A00000XOther Service ProvidersDriver
No374J00000XNursing Service Related ProvidersDoula
No376J00000XNursing Service Related ProvidersHomemaker