REAGAN O'CONNOR (NPI# 1063962702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063962702 |
| Entity Type | Individual |
| Full Name | REAGAN O'CONNOR |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
11705 Jones Bridge Rd A201 Johns Creek GA 30005-5078 |
| Mailing Address |
4832 Shallow Creek Dr Nw Kennesaw GA 30144-1490 |
| Practice Telephone | 7707721830 |
| Mailing Telephone | 6785493173 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN227771 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11705 JONES BRIDGE RD A201 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30005-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689693079 | Richard G Dukes | Emergency Medicine | 11705 Jones Bridge Rd, Suite A201, Johns Creek, GA 30005-5078 | 2006-07-18 |
| 1205334661 | Vy Vy Ann Thi Pham | Nurse Practitioner | 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 | 2018-01-30 |
| 1265830426 | Renew Health and Physical Medicine | Physical Medicine & Rehabilitation | 11705 Jones Bridge Rd, Suite D101, Johns Creek, GA 30005-5078 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1508412453 | Eugeniu Boris Cucuta | Nurse Practitioner | 3000 Old Alabama Rd Ste 128a, Johns Creek, GA 30022-1901 | 2019-08-16 |
| 1487121679 | Michelle Chun | Nurse Practitioner | 10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440 | 2018-10-26 |
| 1912492489 | Kelsey Rolwood | Nurse Practitioner | 11705 Jones Bridge Rd Ste A201, Johns Creek, GA 30005-5080 | 2018-06-27 |
| 1538553623 | Hanna Lee Park | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-03-26 |
| 1902108491 | Roseline Makinde | Nurse Practitioner | 5808 State Bridge Rd, Johns Creek, GA 30097-6476 | 2010-12-03 |
| 1902448012 | Melanie Carroll Steen | Nurse Practitioner | 10692 Medlock Bridge Rd Ste 100a, Johns Creek, GA 30097-8497 | 2019-10-09 |
| 1922595099 | Jennifer Rosson | Nurse Practitioner | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2018-04-15 |
| 1205334661 | Vy Vy Ann Thi Pham | Nurse Practitioner | 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 | 2018-01-30 |
| 1174048474 | Monique Jennifer Stage | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2017-08-08 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on REAGAN O'CONNOR.
| 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.