Active NPIIndividual provider

Ms. Kimberly S Reid, MD

Family Medicine in Old Lyme, Connecticut

NPI Number1225773856
Practice location
8 Vista Dr, Old Lyme, CT 06371-1587
Fax
—
Last updated
November 20, 2025

Kimberly Shanice Reid is a Family Medicine based in Old Lyme, CT. Kimberly Shanice Reid practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Kimberly Shanice Reid is 1225773856 and holds a License No. 79410 (CT). The current practice location address for Kimberly Shanice Reid is 8 Vista Dr, Old Lyme, CT 06371-1587 and can be reached out via phone at 860-434-8847.

Provider Profile Details

NPI Number
1225773856
Provider Name
Kimberly Shanice Reid
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8 Vista Dr, Old Lyme, CT 06371-1587
Phone Number
860-434-8847
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2022
Last Update Date
November 20, 2025
Certification Date
November 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Vista Dr
Old Lyme, CT 06371-1587
Zip
06371-1587
Phone Number
860-434-8847
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
8 Vista Dr
Old Lyme, CT 06371-1587
City
Old Lyme
State
CT
Zip
06371-1587
Phone Number
860-434-8847

License Information

License Number
79410
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Old Lyme, CT

View all Family Medicine providers in Old Lyme →

Frequently Asked Questions

What is the NPI number of Ms. Kimberly S Reid, MD?

The NPI number of Ms. Kimberly S Reid, MD is 1225773856. It was assigned on April 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimberly S Reid, MD?

Ms. Kimberly S Reid, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 79410.

Where does Ms. Kimberly S Reid, MD practice?

The practice location is 8 Vista Dr, Old Lyme, CT 06371-1587. The office can be reached at 860-434-8847 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225773856 directly on the NPPES registry website.

Browse related providers