MITCHELL REYNOLDS (NPI# 1043603764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043603764 |
| Entity Type | Individual |
| Full Name | MITCHELL REYNOLDS |
| Credential | CRNA |
| Practice Address |
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7331 |
| Practice Telephone | 2319355770 |
| Practice Fax Number | 2319350747 |
| Mailing Telephone | 2319355770 |
| Mailing Fax Number | 2319350747 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 47404282268 | MI | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704282268 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053765180 | Mitchell Reynolds | Occupational Therapist | 550 Club Ln, Conway, AR 72034-3681 | 2016-04-14 |
| 1417361049 | Mitchell J Reynolds | Physical Therapist | 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 | 2014-06-11 |
| 1487707741 | Mitchell D Reynolds | Registered Nurse | 754 S Main St, St George, UT 84770-5504 | 2007-01-19 |
| Street Address |
4100 PARK FOREST DR SUITE 210 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628016 | Donald E. Kring Jr. | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2005-09-08 |
| 1346864170 | Bree Saffron | Registered Nurse | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2020-06-08 |
| 1841708229 | Allie Jo Nave | Physician Assistant | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2018-01-18 |
| 1114459468 | Michelle Hodges | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2017-03-28 |
| 1023551249 | Jessica Lee Hoort | Registered Nurse | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 | 2016-11-19 |
| 1407224140 | Courtney Scruggs | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2015-09-11 |
| 1538555800 | Jordan Resseguie | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2015-04-13 |
| 1992103212 | Kyle Marie Cameron | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Sutie210, Traverse City, MI 49684-7331 | 2014-12-18 |
| 1578969218 | Robert Weiler Jr. | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2014-11-07 |
| 1205240090 | Louisa Rankin | Anesthesiologist Assistant | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467093153 | Apollo Medical Group of Traverse City Pllc | Nurse Anesthetist, Certified Registered | 3663 N Country Dr, Traverse City, MI 49684-4587 | 2019-10-03 |
| 1518070598 | Carolyn Hughes | Nurse Anesthetist, Certified Registered | 8300 E Nicholas Dr, Traverse City, MI 49684-8498 | 2006-08-16 |
| 1134197536 | Rebecca Jahn | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2006-03-10 |
| 1932671922 | Chelsea Holzworth | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2019-01-02 |
| 1124534300 | Stephanie Mae Poindexter | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2017-12-24 |
| 1912417320 | Andrew Purcell | Nurse Anesthetist, Certified Registered | 1105 6th St, Traverse City, MI 49684-2345 | 2017-10-11 |
| 1114459468 | Michelle Hodges | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2017-03-28 |
| 1205380763 | Derek Gelven | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr Ste 210, Traverse City, MI 49684-7306 | 2016-08-12 |
| 1407224140 | Courtney Scruggs | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2015-09-11 |
| 1538555800 | Jordan Resseguie | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2015-04-13 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| 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.