Provider Demographics
NPI:1144029893
Name:REEDER, DEVON
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:REEDER
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 1:3712 S CANTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5512
Mailing Address - Country:US
Mailing Address - Phone:918-574-1885
Mailing Address - Fax:
Practice Address - Street 1:3712 S CANTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5512
Practice Address - Country:US
Practice Address - Phone:918-574-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No104100000XBehavioral Health & Social Service ProvidersSocial Worker