Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MICAH REAVES FNP-C
NPI 1417889593
Nurse Practitioner - Family in Lubbock, TX
Active since June 02, 2026
About Micah Reaves Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAH REAVES FNP-C (NPI 1417889593) is an individual family provider in Lubbock, Texas, licensed in Texas (1240939) and active in the NPI registry since June 2026. She maintains a secondary practice location in Lubbock.
NPPES Registry Identity
NPI1417889593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICAH REAVESCredential: FNP-C
Location Address9812 SLIDE RDLubbock, TX 79424-5781
Mailing Address4203 97th StLubbock, TX 79423-3954 · (806) 620-0781
Phone(806) 725-8765
Fax(806) 725-8759
Sole ProprietorNo
Enumeration DateJune 2, 2026
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1417889593 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1240939
Also ListedNurse PractitionerTaxonomy 363L00000X · License F05260451 (TX)
9812 SLIDE RD, Lubbock, TX 79424
Secondary Practice Location 1
Location 14203 97th StLubbock, TX 79423-3954 · Phone (806) 620-0781
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417889593, enumerated as an "individual" on June 02, 2026.
The provider is located at 9812 SLIDE RD LUBBOCK, TX 79424 and the phone number is (806) 725-8765.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
