CAROLYN WELTHER REYNOLDS (NPI# 1114256682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114256682 |
| Entity Type | Individual |
| Full Name | CAROLYN WELTHER REYNOLDS |
| Other Name | CAROLYN DEARDEN WELTHER |
| Credential | PA-C |
| Practice Address |
1124 E Elizabeth St Ste C Fort Collins CO 80524-4051 |
| Practice Telephone | 9704840798 |
| Practice Fax Number | 9704820679 |
| Mailing Telephone | 9704840798 |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2931 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2931 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 76954382 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1124 E Elizabeth St Ste C, Fort Collins, CO 805244051 | 9704840798 | 9704820679 |
| 3811 Valley Centre Dr, San Diego, CA 921303318 | 9706923373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033438171 | Carolyn Estelle Reynolds | Occupational Therapy Assistant | 1711 Furman Dr, Florence, SC 29501-6513 | 2010-05-28 |
| 1265685499 | Carolyn Reynolds | Occupational Therapist | 2237 N Oakley Ave, Unit 1, Chicago, IL 60647-3282 | 2008-10-31 |
| 1700147071 | Carolyn Jane Reynolds | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2012-06-04 |
| 1174791255 | Carolyn Elaine Reynolds | Counselor | 93 Broadlawn, Ardmore, OK 73401 | 2008-02-12 |
| 1538372438 | Carolyn Renee Reynolds | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2007-05-07 |
| 1467590273 | Carolyn E. Reynolds | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2007-02-02 |
| 1396755070 | Carolyn C. Reynolds | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2006-08-08 |
| 1013989508 | Carolyn Reynolds | Internal Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2006-02-07 |
| Street Address |
1124 E ELIZABETH ST STE C |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900253 | Jeffrey Neal Kauffman | Family Medicine | 1124 E Elizabeth St Ste C, Bldg C, Fort Collins, CO 80524-4051 | 2006-08-19 |
| 1285109397 | Tricia Eileen Sharkey Staatz | Nurse Practitioner | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 | 2018-10-04 |
| 1881172468 | Emma Reichart | Physician Assistant | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524 | 2018-08-06 |
| 1396173886 | Holly Gustafson | Nurse Practitioner | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 | 2013-10-22 |
| 1104151570 | Samantha Jo Steelman | Physician Assistant | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 | 2009-10-02 |
| 1053519389 | Kirstin Nicole Marolf | Physician Assistant | 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 | 2007-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| 1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
| 1730231770 | Amy L Becker | Physician Assistant | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-01-18 |
| 1417043837 | Adam Richard Musgrave | Physician Assistant | 2627 Redwing Rd Ste 220, Fort Collins, CO 80526-6331 | 2006-10-04 |
| 1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
| 1124570601 | Alexandra M Skogen | Physician Assistant | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2016-10-31 |
| 1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
| 1477955870 | Suzette Denise Vandivier | Physician Assistant | 1124 E Elizabeth St, Fort Collins, CO 80524-4052 | 2014-09-17 |
| 1396096525 | Elizabeth A Metz | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-09-27 |
| 1912295296 | Amanda Benedict | Physician Assistant | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2011-07-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on CAROLYN WELTHER REYNOLDS.
| 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.