COURTNEY REYNOLDS (NPI# 1194209692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194209692 |
| Entity Type | Individual |
| Full Name | COURTNEY REYNOLDS |
| Practice Address |
4755 Ogletown Stanton Rd Ste 1070 Newark DE 19718-9706 |
| Mailing Address |
226 Highland View Dr Lincoln University PA 19352-9706 |
| Practice Telephone | 3027331663 |
| Practice Fax Number | 3027334533 |
| Mailing Telephone | 6109087814 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | L1-0038092 | DE | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001199 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 226 Highland View Dr, Lincoln University, PA 193529706 | 6109087814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265673065 | Courtney Louise Reynolds | Case Manager/Care Coordinator | 2221 S Lennox Ave, Casper, WY 82601-5127 | 2009-03-09 |
| 1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
| 1962027110 | Courtney Marie Reynolds | Pharmacist | 15031 Sr 224 E, Findlay, OH 45840-7764 | 2020-06-13 |
| 1881179208 | Courtney Anne Reynolds | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-10-02 |
| 1841797800 | Courtney Rae Reynolds | Student in an Organized Health Care Education/Training Program | 1100 Delaplaine Ct, Madison, WI 53715-1840 | 2018-04-06 |
| 1326577032 | Courtney Reynolds | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-06 |
| 1114472495 | Courtney Reynolds | Dietitian, Registered | 1 Pinckney Blvd, Room 4w118, Beaufort, SC 29902-6122 | 2016-08-17 |
| 1235559972 | Courtney Reynolds | Internal Medicine | 14445 Olive View Dr, Sylmar, CA 91342 | 2014-04-21 |
| 1487997920 | Courtney Anne Reynolds | Counselor | 248 Seneca St Fl 3, Oil City, PA 16301-1371 | 2013-04-03 |
| 1710171103 | Courtney Vincent Reynolds | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2007-08-29 |
| Street Address |
4755 OGLETOWN STANTON RD STE 1070 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497045504 | Usman I Choudhry | Internal Medicine | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2011-04-10 |
| 1245880947 | Kelly Anne Saville | Registered Nurse | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2019-09-13 |
| 1588224877 | Amanda Streeper | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2019-06-18 |
| 1881112787 | Heather Hastings Dennis | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2017-08-31 |
| 1992170682 | Chelsea M. Hulme | Registered Nurse | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2015-12-06 |
| 1619369378 | Jennifer B Entrekin | Registered Nurse | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2015-03-04 |
| 1083974257 | Stephen Meng | Internal Medicine | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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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.