REED BLAKE MINTON (NPI# 1275876104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275876104 |
| Entity Type | Individual |
| Full Name | REED BLAKE MINTON |
| Credential | APN |
| Practice Address |
7446 Shallowford Rd Ste 108 Chattanooga TN 37421-2352 |
| Practice Telephone | 4238557376 |
| Practice Fax Number | 4238558455 |
| Mailing Telephone | 4238557376 |
| Mailing Fax Number | 4238558455 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
17505 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 De Sales Avenue, Chattanooga, TN 37404 | 4236970014 | 4236486280 |
| Street Address |
7446 SHALLOWFORD RD STE 108 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386765832 | Joseph P Soldo | Internal Medicine | 7446 Shallowford Rd Ste 108, Chattanooga, TN 37421-2352 | 2007-04-03 |
| 1245743178 | Apple Physical Medicine and Rehabilitation, PC | Clinic/Center | 7446 Shallowford Rd Ste 108, Chattanooga, TN 37421-2352 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1114235231 | Jammie Amanda Dill | Nurse Practitioner | 975 E 3rd St # 247, Trauma Services Department, Chattanooga, TN 37403-2147 | 2010-09-23 |
| 1689204968 | Kristen Lamm Smith | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-01-25 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1780229229 | Dudley W Pate | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-11-07 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1588206155 | Lauren Elizabeth Shockley | Nurse Practitioner | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2019-10-15 |
| 1225698061 | Jared Daniel Coston | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-06-14 |
| 1346803756 | Kelsey C Rudd | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-04-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on REED BLAKE MINTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.