KELSEY ELIZABETH REEKIE (NPI# 1689045957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045957 |
| Entity Type | Individual |
| Full Name | KELSEY ELIZABETH REEKIE |
| Credential | AGACNP |
| Practice Address |
4240 International Pkwy Suite 154 Carrollton TX 75007-1970 |
| Mailing Address |
3315 Colorado Blvd Ste 102 Denton TX 76210-6885 |
| Practice Telephone | 4695740464 |
| Practice Fax Number | 4695740471 |
| Mailing Telephone | 9403201708 |
| Mailing Fax Number | 9405655457 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP129339 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 354727501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4375 Booth Calloway Rd Ste 505, North Richland Hills, TX 761808359 | 8179538450 | |
| 8479 Davis Blvd Ste 100, North Richland Hills, TX 761828604 | 8179538450 |
| Street Address |
4240 INTERNATIONAL PKWY SUITE 154 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75007-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583763 | Jun Chen | Internal Medicine | 4240 International Pkwy, Ste. 154, Carrollton, TX 75007 | 2006-07-03 |
| 1750590691 | Deeba Nohi Ali | Internal Medicine | 4240 International Pkwy, Suite 154, Carrollton, TX 75007-1970 | 2007-05-21 |
| 1790809036 | North Texas Kidney Disease Associates | Internal Medicine | 4240 International Pkwy, Ste. 154, Carrollton, TX 75007 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184106510 | Reshaped Pllc | Family Medicine | 2008 E Hebron Pkwy #114, Carrollton, TX 75007 | 2018-09-01 |
| 1912436353 | Amanda M Nguyen | Pharmacist | 4112 N Josey, Carollton, TX 75007 | 2017-06-08 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1205362928 | Harichandana Vemireddy Dmd Pllc | Clinic/Center | 1000 West Rosemeade Parkway Ste 100, Carrolton, TX 75007 | 2017-05-02 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1538514500 | Rimvin, LLC | Clinic/Center | 2710 N Josey Ln., Suite 301, Carrollton, TX 75007 | 2016-04-27 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1144638099 | Courtney Leigh Rodriguez | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007 | 2014-07-23 |
| Find all providers in zip 75007 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194203851 | Laura Marie Fessler | Nurse Practitioner | 2300 Marsh Ln Apt 214, Carrollton, TX 75006-4852 | 2018-08-03 |
| 1417458498 | Larrice Tela Gorley | Nurse Practitioner | 174 Emerald Pointe Dr, Carrollton, GA 30116-9409 | 2018-02-23 |
| 1851733679 | Angela M Rogers | Nurse Practitioner | 100 Professional Pl Ste 310, Carrollton, GA 30117-3872 | 2013-07-22 |
| 1326676206 | Jessica Danielle Spears | Nurse Practitioner | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2020-03-27 |
| 1659907160 | Angelita Ancheta Parrish | Nurse Practitioner | 2340 E Trinity Mills Rd Ste 250, Carrollton, TX 75006-1946 | 2020-03-16 |
| 1558876524 | Savannah Bryanna Jackson | Nurse Practitioner | 100 Professional Pl Ste 204, Carrollton, GA 30117-3802 | 2017-12-12 |
| 1780043463 | Michael John Sullivan | Nurse Practitioner | 705 Dixie St, Suite 401, Carrollton, GA 30117-3818 | 2016-02-23 |
| 1588079248 | Emily Tarpley Massey | Nurse Practitioner | 157 Clinic Ave Ste 203, Carrollton, GA 30117-4454 | 2014-06-20 |
| 1093956351 | Melanie Sims | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2009-03-17 |
| 1881818854 | Tracy Lynn Brown | Nurse Practitioner | 4325 N Josey Ln, Plaza 2 Suite 301, Carrollton, TX 75010-4635 | 2007-04-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75007 |
Please comment or provide details below to improve the information on KELSEY ELIZABETH REEKIE.
| 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.