RUSS REYNOLDS (NPI# 1114361037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114361037 |
| Entity Type | Individual |
| Full Name | RUSS REYNOLDS |
| Credential | PH.D. |
| Practice Address |
301 Bear Creek Rd. Oak Ridge TN 37831-2820 |
| Mailing Address |
301 Bear Creek Rd. P.o. Box 2009 Oak Ridge TN 37831-2820 |
| Practice Telephone | 8655743434 |
| Mailing Telephone | 8655743434 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P1422 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679610356 | Russ K Reynolds | Radiologic Technologist | 220 25th St Ne, East Wenatchee, WA 98802-4097 | 2007-01-31 |
| Street Address |
301 BEAR CREEK RD. |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37831-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526864 | Rickey Allen Cosby | Nurse Practitioner | Bldg 4500n Ms6184, Oak Ridge, TN 37831 | 2013-05-30 |
| 1902156177 | Doran M. Christensen | Emergency Medicine | 1299 Bethel Valley Road, Oak Ridge, TN 37831-0117 | 2012-09-14 |
| 1154372266 | Mark A. Greer | Optometrist | 127 E Division Rd, Oak Ridge, TN 37831-0587 | 2006-05-13 |
| 1801088158 | Greer Family Eyecare | Optometrist | 127 E Division Rd, Oak Ridge, TN 37831-0587 | 2007-08-10 |
| 1700870672 | Methodist Medical Center | General Acute Care Hospital | 990 Oak Ridge Turnpike, Oak Ridge, TN 37831-2529 | 2005-09-07 |
| 1215266135 | Rubin Burt Prater | Specialist | Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404080 | Ty Taubenheim | Nurse Practitioner | 109 Tamara Ln, Oak Ridge, TN 37830-6673 | 2020-10-12 |
| 1669087029 | Sara Cole | Dietitian, Registered | 13 Highland Rd, Oak Ridge, NJ 07438-9542 | 2020-09-12 |
| 1033723572 | Tamara L. Ellington | Registered Nurse | 158 Fairbanks Rd, Oak Ridge, TN 37830-7022 | 2020-09-02 |
| 1063025104 | Jerrold Anthony Williams | Home Health Aide | 109 Trevecca Ln, Oak Ridge, TN 37830-6616 | 2020-08-28 |
| 1639782139 | Haley Reicher | Registered Nurse | 180 Waterview Dr Apt 619, Oak Ridge, TN 37830-9064 | 2020-08-25 |
| 1215549175 | Penelope Fattebert | Acupuncturist | 103 W Tennessee Ave, Oak Ridge, TN 37830-6502 | 2020-08-20 |
| 1205454139 | Diane Helm | Registered Nurse | 6106 Chalet Dr, Oak Ridge, NC 27310-9697 | 2020-07-07 |
| 1689298556 | Integrity Home Care | Technician | 106 Administration Rd # 202, Oak Ridge, TN 37830-6954 | 2020-06-05 |
| 1033731666 | Brooke Lorraine Hamby | Registered Nurse | 145 Manhattan Ave, Oak Ridge, TN 37830-7055 | 2020-05-18 |
| 1861027765 | Angela Taylor Thompson | Licensed Practical Nurse | 106 Administration Rd Ste 202, Oak Ridge, TN 37830-6954 | 2020-03-11 |
| Find all providers in OAK RIDGE | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841341609 | Gail Elizabeth Gnade | Psychologist | 679b Emory Valley Rd, Oak Ridge, TN 37830-7756 | 2007-01-16 |
| 1548322233 | Howard Friedman, Ph.d., P.C. | Psychologist | 300 Tyler Rd, 201, Oak Ridge, TN 37830-8827 | 2006-12-16 |
| 1124101431 | Lorrie Gene Beevers | Psychologist | 679 Emory Valley Road, Suite B, Oak Ridge, TN 37830-7756 | 2006-10-23 |
| 1518238310 | Lorrie G. Beevers, Phd, PC | Psychologist | 679b Emory Valley Rd, Oak Ridge, TN 37830-7756 | 2012-01-25 |
| 1811206063 | Margaret Berret | Psychologist | 679b Emory Valley Rd, Oak Ridge, TN 37830-7756 | 2010-10-05 |
| 1992984017 | Gerald S. Perlman | Psychologist | 100 Tulsa Rd, Suite 6, Oak Ridge, TN 37830-3207 | 2007-10-25 |
| 1972710499 | Robert Peter Fortney | Psychologist | 679b Emory Valley Rd, Oak Ridge, TN 37830-7756 | 2007-05-16 |
| 1770651598 | Wagner Associates PC | Psychologist | 679 Emory Valley Road, Suite B, Oak Ridge, TN 37830 | 2006-12-01 |
| 1255397261 | Sarah (sally) Avery | Psychologist | 667a Emory Valley Rd, Oak Ridge, TN 37830-7765 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597727 | Dorsey Matthew Howard | Psychologist | 315 33rd Ave N, Nashville, TN 37209-3941 | 2020-10-29 |
| 1003422874 | Daniel Diperna | Psychologist | 4205 Hillsboro Pike Ste 301, Nashville, TN 37215-3339 | 2020-09-17 |
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1447873906 | Virtual Adhd Services and Testing | Psychologist | 8935 Magnolia Leaf Cv, Cordova, TN 38018-7413 | 2020-05-19 |
| 1538781679 | David R Richie | Psychologist | 680 Russell Rd, Bolivar, TN 38008-3573 | 2020-05-12 |
| 1710513890 | Elizabeth Katharine Collier Baker | Psychologist | 1800 Volunteer Blvd Fl 2, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1164067518 | Jared Scott Yaw | Psychologist | 907 Maynor St, Nashville, TN 37216-3021 | 2019-11-08 |
| 1972144285 | Lauren Dattilo | Psychologist | 1211 21st Ave S Bldg Suite010, Nashville, TN 37212-2717 | 2019-10-08 |
| 1720635030 | Amy Rebekah Murrell | Psychologist | 8558 Ericson Cv, Cordova, TN 38018-7312 | 2019-08-21 |
| 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.