TYRA REID MD
NPI 1710077375
Pediatrics - Developmental - Behavioral Pediatrics in Little Rock, AR

Q: What is Tyra Reid's NPI number?

The NPI number for Tyra Reid is 1710077375. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Tyra Reid's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Tyra Reid was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2006PECOS Enrolled

800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tyra Reid Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRA REID MD (NPI 1710077375) is an individual developmental - behavioral pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (C-5571) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710077375

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameTYRA REIDCredential: MD

Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510

Mailing Address800 Marshall St # 653Little Rock, AR 72202-3510 · (501) 364-1100

Phone(501) 364-1100

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 31, 2007

✔ NPI 1710077375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in AR · C-5571

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

800 MARSHALL ST # 653, Little Rock, AR 72202

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Other Identifiers 2

Medicare UPINF45132

Medicare PIN56223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyra Reid Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARK EDWARDS PHD

Psychologist (Clinical Child & Adolescent)