MRS. NICOLE MARIE REYNOLDS (NPI# 1124376355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124376355 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE REYNOLDS |
| Credential | P.A. |
| Practice Address |
1035 Piper Blvd Ste 101 Naples FL 34110 |
| Mailing Address |
12109 County Road 103 Oxford FL 34484-2951 |
| Practice Telephone | 2394654157 |
| Mailing Telephone | 3522058981 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106821 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 1238631 | 01 |
| FL | AETNA | 7770991 | 01 |
| FL | FREEDOM | P1020252 | 01 |
| FL | 009562900 | 05 | |
| FL | CIGNA | 8581438 | 01 |
| FL | BCBS OF FL | Y0J43 | 01 |
| FL | OPTIMUM | P958818 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 990 Tamiami Trl N, Naples, FL 341025403 | 2394346300 | 2394347174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598133043 | Nicole Reynolds | Psychologist | 2158 Exchange St # 304, Astoria, OR 97103-3316 | 2015-09-14 |
| 1467843482 | Nicole Reynolds | Occupational Therapist | 2638 Wende Rd, Alden, NY 14004-9315 | 2015-02-12 |
| 1619104528 | Nicole Marie Reynolds | Physical Therapist | 2600 Old Washington Rd Ste 250, Suite 205, Pittsburgh, PA 15241-2595 | 2009-06-18 |
| 1235384769 | Nicole M Reynolds | Physical Therapist | 4205 Longbranch Rd, Liverpool, NY 13090-3213 | 2008-11-25 |
| 1831707728 | Nicole Reynolds | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
| 1689214272 | Nicole Reynolds | Behavior Technician | 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 | 2020-01-10 |
| 1851957179 | Nicole Reynolds | Counselor | 20 Cedar St, Worcester, MA 01609-2520 | 2019-05-13 |
| 1124560933 | Nicole Reynolds | Speech-Language Pathologist | 9041 Executive Park Dr Ste 126, Knoxville, TN 37923-4603 | 2016-11-09 |
| 1508313727 | Nicole Sarah Reynolds | Dietitian, Registered | 2315 Stockton Blvd, Sesp 0p160, Sacramento, CA 95817-2201 | 2016-09-06 |
| 1699021659 | Nicole Reynolds | Physical Therapist | 535 Centerville Rd, Suite 101, Warwick, RI 02886-4486 | 2012-07-27 |
| Street Address |
1035 PIPER BLVD STE 101 |
| City | NAPLES |
| State | FL |
| Zip Code | 34110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407820491 | Spencer Land | Urology | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2006-02-15 |
| 1003437732 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2020-05-05 |
| 1538603758 | Donna Irving | Nurse Practitioner | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2016-12-07 |
| 1366746612 | Scott E Francis | Physician Assistant | 1035 Piper Blvd Ste 101, Naples, FL 34110 | 2010-12-30 |
| 1649203233 | Janelle C. Bunce | Physician Assistant | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2006-07-08 |
| 1295786093 | Rolando Rivera | Urology | 1035 Piper Blvd Ste 101, Naples, FL 34110 | 2006-05-15 |
| 1225088305 | Jonathan K Jay | Urology | 1035 Piper Blvd Ste 101, Naples, FL 34110-1449 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633488 | Ana Laura Leyva | Nurse Practitioner | 16010 Old 41 N Unit 102, Naples, FL 34110 | 2018-03-22 |
| 1598295495 | At Home Services of Swfl | Home Health | 161 Crown Dr, Naples, FL 34110 | 2017-06-14 |
| 1497100101 | Zumedic LLC | Nurse Practitioner | 16010 Old 41 Rd. Suite 102, Naples, FL 34110 | 2016-05-01 |
| 1386043024 | Specialty Home Health Agency | Home Health | 11983 Us Tamiami Trail North, Suite 132, Naples, FL 34110 | 2014-08-19 |
| 1457762403 | Better At Home Health Services, LLC | Home Health | 5683 Strand Court, Suite 101, Naples, FL 34110 | 2014-05-13 |
| 1447500970 | Epiphany Salon & Spa | Durable Medical Equipment & Medical Supplies | 14700 Tamiami Trail N., Suite #13, Naples, FL 34110 | 2012-09-12 |
| 1902172828 | Omar M Saleh | Internal Medicine | 2338 Immokalee Road, Naples, FL 34110 | 2012-03-25 |
| 1962785337 | Shannon Kathleen Perry | Speech-Language Pathologist | 16165 Learning Ln, Naples, FL 34110 | 2011-09-22 |
| 1417238338 | Virtus Health, LLC | Community/Behavioral Health | 90 Cypress Way E Ste 60, Naples, FL 34110 | 2011-09-06 |
| 1902113202 | Laura L Jones | Nurse Practitioner | 15450 Tamiami Trl N, Naples, FL 34110 | 2010-09-08 |
| Find all providers in zip 34110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575479 | Cristina Marie Lago | Physician Assistant | 2325 Stanford Ct, Naples, FL 34112-4813 | 2020-10-14 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 7943 Haven Dr Unit 1, Naples, FL 34104-5979 | 2020-04-23 |
| 1215587340 | Aida Brax | Physician Assistant | 13005 Collier Blvd, Naples, FL 34116-4003 | 2019-09-20 |
| 1568931335 | Jonathan Fletcher Michaelis | Physician Assistant | 13020 Livingston Rd Ste 14, Naples, FL 34105-5023 | 2018-11-21 |
| 1669971412 | Chelsea Allan | Physician Assistant | 848 1st Ave N Ste 100, Naples, FL 34102-6063 | 2018-02-07 |
| 1336659622 | Miriam Albritton | Physician Assistant | 1201 Piper Blvd Ste 24, Naples, FL 34110-1385 | 2017-10-02 |
| 1821455262 | Laura Khawaja | Physician Assistant | 7069 Lone Oak Blvd, Naples, FL 34109-8875 | 2016-01-15 |
| 1225429889 | Maria Francesca Zampogna Wilson | Physician Assistant | 6400 Davis Blvd Ste 203, Naples, FL 34104-5321 | 2015-02-17 |
| 1972906113 | Kellie Jo Dunlap | Physician Assistant | 830 105th Ave N, Naples, FL 34108-1844 | 2014-10-02 |
| 1902208077 | Bogdan-gabriel Cozmuta | Physician Assistant | 400 8th Street North, Naples, FL 34102-7906 | 2014-09-20 |
| Find all providers in NAPLES | ||||
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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.