MRS. SHIRLEY DEVEERE REYNOLDS (NPI# 1073097242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073097242 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY DEVEERE REYNOLDS |
| Practice Address |
998 Inlet Loop Coos Bay OR 97420-4446 |
| Practice Telephone | 7739960242 |
| Mailing Telephone | 7739960242 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.018215 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710311238 | Shirley D Reynolds | Marriage & Family Therapist | 330 N Lincoln Ave Ste 108, Loveland, CO 80537 | 2013-09-03 |
| 1063758423 | Shirley Reynolds | Rehabilitation Practitioner | 1200 W Cheyenne Ave Apt 1058, North Las Vegas, NV 89030-7872 | 2012-12-12 |
| 1245316520 | Shirley Reynolds | Licensed Practical Nurse | W2923 State Road 11, Elkhorn, WI 53121-4118 | 2006-10-28 |
| 1184942732 | Shirley Morrison Reynolds | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2010-05-06 |
| Street Address |
998 INLET LOOP |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487108 | Susan Anne Morgan | Nurse Practitioner | 1775 Thompson Rd., Coos Bay, OR 97420-2125 | 2005-12-09 |
| 1346803640 | Sophia Elizabeth Massey | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-04-22 |
| 1750857090 | Alaina Therese Hendrix | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-10-14 |
| 1801382155 | Yulia Viktorovna Whidden | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-07-10 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1528503885 | Joshua Bryan Wilson Sr. | Nurse Practitioner | 375 Park Ave Ste 5, Coos Bay, OR 97420-2242 | 2016-12-22 |
| 1508897778 | Kathryn Kolb Moon | Nurse Practitioner | 1900 Woodland Dr, Urology, Coos Bay, OR 97420-2045 | 2006-07-06 |
| 1063457612 | Angela Renee York | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-06-18 |
| 1134174220 | Diane H Todd | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-05-24 |
| 1568415081 | Karson Fisher Nasstrom | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2006-05-18 |
| Find all providers in COOS BAY | ||||
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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.