JENNIFER REAGAN (NPI# 1033662416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033662416 |
| Entity Type | Individual |
| Full Name | JENNIFER REAGAN |
| Practice Address |
201 Il Route 64 Lanark IL 61046-8903 |
| Practice Telephone | 8154932321 |
| Mailing Telephone | 8154932321 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36-2663577 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DHS DDD BILLING AGENT | 7094638 | 01 |
| IL | DHS DDD MCO PLAN | 3000006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770956567 | Jennifer Reagan | Occupational Therapist | 249 W Freemason St, Apt 304, Norfolk, VA 23510-1349 | 2015-11-03 |
| 1326355793 | Jennifer Colleen Reagan | Registered Nurse | 167 Pittsford St, Rochester, NY 14615-3161 | 2010-09-08 |
| 1154594208 | Jennifer Reagan | Nurse Practitioner | 122 W Greenfield Ave Fl 4, Rockwell Automation Health Center, Milwaukee, WI 53204-2946 | 2008-04-09 |
| 1811408768 | Jennifer Reagan | Counselor | 1004 Parkway Ave Ste D, Elkhart, IN 46516-9349 | 2017-10-18 |
| 1114306487 | Jennifer Reagan | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-05-20 |
| 1891045167 | Jennifer Reagan | Pharmacist | 760 Hospital Circle, Browning, MT 59417-0760 | 2012-09-14 |
| 1649251943 | Jennifer L Reagan | Counselor | 2600 Marble Ne, Albuquerque, NM 87131-0001 | 2005-11-14 |
| Street Address |
201 IL ROUTE 64 |
| City | LANARK |
| State | IL |
| Zip Code | 61046-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376994095 | Rolling Hills Progress Center | Day Training, Developmentally Disabled Services | 201 Il Route 64, Lanark, IL 61046-8903 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659527547 | Lanark Fire Protection District | Ambulance | 103 W. Carroll, Lanark, IL 61046 | 2008-08-12 |
| 1871975268 | Lanark Pharmacy, Inc | Pharmacy | 102 N Broad St, Lanark, IL 61046-1004 | 2015-06-23 |
| 1255503603 | Frances House Inc | Intermediate Care Facility, Mentally Retarded | 421 N Rochester Street, Lanark, IL 61046-1135 | 2008-03-26 |
| 1609995885 | Lanark Dental Clinic, P.C. | Dentist | 120 S Broad St, Lanark, IL 61046-1204 | 2007-03-28 |
| 1871614198 | Dennis J Walters | Dentist | 120 S Broad St, Lanark, IL 61046-1204 | 2007-04-03 |
| 1326240888 | Eastland Cusd 308 | Local Education Agency (LEA) | 200 S School St, Lanark, IL 61046-1354 | 2007-06-05 |
| 1295749448 | Shawni Lyn Groezinger | Chiropractor | 502 Il Route 64, Lanark, IL 61046-8904 | 2006-07-27 |
| 1255307468 | David L Reese | Family Medicine | 602 W Olympic Dr, Lanark, IL 61046-9105 | 2006-02-27 |
| 1376687632 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 602 W Olympic Dr, Lanark, IL 61046-9105 | 2007-02-19 |
| 1811907645 | Nancy L Guenzler | Counselor | 321 Se Lanark Ave, Lanark, IL 61046-9706 | 2006-08-08 |
| Find all providers in zip 61046 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER REAGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.