Individual ProviderRyan Ray ReddNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16415 Northcross Dr Ste C, Huntersville, NC 28078-5001(704) 775-6029PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Ray Redd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1619405990Provider TypeIndividualFull NameRedd, Ryan RayCredentialFNPGenderMaleSole ProprietorNoEnumeration Date5/31/2017Last Updated5/31/2017Contact InformationPractice LocationPractice Address16415 Northcross Dr Ste C, Huntersville, NC 28078-5001Phone(704) 775-6029FaxUnlisted FaxMailing LocationMailing Address16415 Northcross Dr Ste C, Huntersville, NC 28078-5001Phone(704) 775-6029FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5009519North Carolina