REESE ISAIAH KRIDER
NPI 1942196878
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since June 16, 2025PECOS Enrolled
625 SHADOW LN, LAS VEGAS, NV 89106(702) 895-3011 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reese Isaiah Krider NPPES

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

REESE ISAIAH KRIDER (NPI 1942196878) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942196878
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameREESE ISAIAH KRIDER
Location Address625 SHADOW LNLas Vegas, NV 89106-4118
Mailing Address625 Shadow LnLas Vegas, NV 89106-4118
Sole ProprietorNo
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
NPI 1942196878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
625 SHADOW LN, Las Vegas, NV 89106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Reese Isaiah Krider 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.

Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reese Krider's NPI number?

The NPI number for Reese Krider is 1942196878. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Reese Krider located?

Reese Krider practices at 625 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 895-3011.

What is Reese Krider's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Reese Krider enrolled in Medicare?

Yes. Reese Krider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reese Krider was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.