JESSICA LYNN REYNOLDS (NPI# 1053851915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053851915 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN REYNOLDS |
| Credential | R.D.N |
| Practice Address |
2519 Cove Ave La Grande OR 97850-3910 |
| Mailing Address |
Po Box 343 Union OR 97883-0343 |
| Practice Telephone | 5419106170 |
| Mailing Telephone | 5419106170 |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10180244 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793663 | Jessica Reynolds | Registered Nurse | 2645 N Walnut Ave, Tucson, AZ 85712-1827 | 2015-03-04 |
| 1538587670 | Jessica Alyse Reynolds | Speech-Language Pathologist | 1549 Ravana Dr, Orlando, FL 32822-8029 | 2014-04-05 |
| 1013226224 | Jessica Lynn Reynolds | Occupational Therapist | 56 Country Club Dr, Mount Marion, NY 12456 | 2010-10-05 |
| 1194336685 | Jessica Reynolds | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-08-10 |
| 1396375598 | Jessica S Reynolds | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224-6980 | 2020-01-16 |
| 1205475373 | Jessica Ann Reynolds | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2020-01-06 |
| 1285198580 | Jessica Reynolds | Behavior Technician | 17b Caledon Ct, Greenville, SC 29615-3170 | 2019-01-31 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1164901575 | Jessica H Reynolds | Physical Medicine & Rehabilitation | 843 Wake Forest Business Park Ste 110, Wake Forest, NC 27587-6578 | 2018-08-08 |
| 1518443217 | Jessica Reynolds | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2018-07-16 |
| Street Address |
2519 COVE AVE |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898958 | James Arthur Gorham | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2005-11-16 |
| 1205470580 | Tera Marie Lovell | Occupational Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2019-10-30 |
| 1881241834 | Michaela Brooke Lupo | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2019-08-23 |
| 1003460072 | Joanna Hallam | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2019-07-29 |
| 1619471380 | Danielle Marie Barrett | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2018-03-19 |
| 1093236523 | James Russell Hottal | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850 | 2017-07-06 |
| 1588192611 | Rachael Dillavou | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2017-06-02 |
| 1861899858 | Spencer Craig Despain | Physical Therapist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2014-11-19 |
| 1861731903 | Glenda Mae O'connor | Acupuncturist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2013-02-09 |
| 1538231121 | Kylan Brook Jorgensen | Specialist/Technologist | 2519 Cove Ave, La Grande, OR 97850-3910 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598228363 | Hannah Grace Robinson | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1387 | 2019-04-09 |
| 1396764833 | Susan K Lewis | Dietitian, Registered | 900 Sunset Dr, La Grande, OR 97850-1362 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.