MR. BRAND PAXTON REYNOLDS (NPI# 1154325991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154325991 |
| Entity Type | Individual |
| Full Name | MR. BRAND PAXTON REYNOLDS |
| Credential | FNP-C |
| Practice Address |
491 N Main St Tooele UT 84074 |
| Mailing Address |
491 N Main St Tooele UT 84074-1654 |
| Practice Telephone | 4358438881 |
| Mailing Telephone | 4358339108 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 271062-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
271062-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
491 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144406 | Family Foot & Ankle | Clinic/Center | 491 N Main St, Tooele, UT 84074-1654 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| 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 |
|---|---|---|---|---|
| 1730787458 | Aspen Family Medicine Pllc | Nurse Practitioner | 36 N 1100 E # 36c, American Fork, UT 84003-2912 | 2020-10-14 |
| 1104433606 | Amy Lynn Dalton | Nurse Practitioner | 530 E 700 S, Orem, UT 84097-6340 | 2020-09-28 |
| 1497361224 | Gavin Woods | Nurse Practitioner | 1961 E Severn Cir, Holladay, UT 84124-1668 | 2020-09-17 |
| 1265045058 | Mary Cole | Nurse Practitioner | 512 E 200 N, Bountiful, UT 84010-3560 | 2020-08-31 |
| 1750993341 | Allyson Roberts | Nurse Practitioner | 12257 S Business Park Dr, Draper, UT 84020-8126 | 2020-08-17 |
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1952929358 | Jamee Schelin | Nurse Practitioner | 252 W Colorado Dr, Midvale, UT 84047-7350 | 2020-07-12 |
| 1619594371 | Aubrie Nicole Carter | Nurse Practitioner | 122 E 1700 S Bldg 3, Provo, UT 84606-5644 | 2020-06-29 |
| 1225657117 | Laura Elizabeth Johnson | Nurse Practitioner | 3659 S 2245 E, Salt Lake Cty, UT 84109-2943 | 2020-04-11 |
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
| 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.