Provider Demographics
NPI:1013807783
Name:FROST, DELLA REED
Entity type:Individual
Prefix:
First Name:DELLA
Middle Name:REED
Last Name:FROST
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4707 LODGELANE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-9515
Mailing Address - Country:US
Mailing Address - Phone:614-313-8658
Mailing Address - Fax:
Practice Address - Street 1:4707 LODGELANE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-9515
Practice Address - Country:US
Practice Address - Phone:614-313-8658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty