KATHY L REYNOLDS (NPI# 1124076278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124076278 |
| Entity Type | Individual |
| Full Name | KATHY L REYNOLDS |
| Credential | MD |
| Practice Address |
800 East 21st Street Sioux Falls SD 57105-1016 |
| Mailing Address |
Po Box 1450 Nw 0090 Minneapolis MN 55485-0090 |
| Practice Telephone | 6053228000 |
| Mailing Telephone | 8002791395 |
| Mailing Fax Number | 5176946441 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 9701856 | NC | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
4743 | SD | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
11712 | NV | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
38372 | CO | Allopathic & Osteopathic Physicians |
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
4743 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002019725 | 05 | |
| SD | 6700510 | 05 | |
| MN | 063407700 | 05 | |
| NC | 891113P | 05 | |
| CO | 64900789 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435757 | Kathy L Reynolds | Occupational Therapy Assistant | 300 Green St, Odin, IL 62870-1062 | 2019-09-11 |
| 1487975512 | Kathy J Reynolds | Dietitian, Registered | 299 Kings Daughters Dr, Frmc, Frankfort, KY 40601-6514 | 2010-06-11 |
| 1609043967 | Kathy Reynolds | Counselor | 1002 Mcclain Rd Ste 108, Bentonville, AR 72712-6739 | 2008-05-14 |
| 1194878934 | Kathy J Reynolds | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2007-01-18 |
| Street Address |
800 EAST 21ST STREET |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790733582 | Thomas R Tetzlaff | Pediatrics | 800 East 21st Street, Sioux Falls, SD 57105-1016 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743019 | Sudhir Eugene Finch | Pediatrics | 1417 S Cliff Ave Ste 201, Sioux Falls, SD 57105-1009 | 2006-05-04 |
| 1932175221 | Arvind B Kasaragod | Pediatrics | 800 E 21st Street, Sioux Falls, SD 57105-1016 | 2006-02-27 |
| 1841454634 | Mir Hyder Ali | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2008-07-11 |
| 1689632358 | Children's Acute Care PC | Pediatrics | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629345723 | Oleksandr Kachanov | Pediatrics | 105 S State St, Ste 113, Aberdeen, SD 57401-4501 | 2011-11-17 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.