SHARON ELIZABETH REYNOLDS (NPI# 1205893328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205893328 |
| Entity Type | Individual |
| Full Name | SHARON ELIZABETH REYNOLDS |
| Other Name | SHARON ELIZABETH RUPERT UNDERWOOD |
| Credential | MN, FNP |
| Practice Address |
2999 Ne 181st Ave Portland OR 97230-6923 |
| Practice Telephone | 5034015201 |
| Practice Fax Number | 5034013322 |
| Mailing Telephone | 5034015201 |
| Mailing Fax Number | 5034013322 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 201240347RN | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN00068423 | WA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30003947 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201250019NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326285438 | Sharon Elizabeth Reynolds | Social Worker | 6754 Hydrangea Rd, Ore City, TX 75683-3585 | 2009-01-12 |
| 1275790248 | Sharon Eileen Reynolds | Audiologist | Womack 2817 Reilly Rd, Fort Bragg, NC 28310-0001 | 2008-05-19 |
| 1821191461 | Sharon Reynolds | Clinical Nurse Specialist | 846 Walnut St, Newton, MA 02459-1756 | 2006-09-07 |
| 1821563768 | Sharon E Reynolds | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2018-10-08 |
| 1346497666 | Sharon Reid Reynolds | Marriage & Family Therapist | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2008-08-19 |
| 1104016203 | Sharon Reynolds | Registered Nurse | 630 E Main St, Richmond, IN 47374-4310 | 2007-07-26 |
| 1386841872 | Sharon Reynolds | Physical Therapist | 1575 Ramblewood Dr, Suite 200, East Lansing, MI 48823-6384 | 2007-06-28 |
| 1679774210 | Sharon R Reynolds | Social Worker | 1140 36th St, Suite Number 275, Ogden, UT 84403-2050 | 2007-05-30 |
| 1134330657 | Sharon Reynolds | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-05-25 |
| 1609932110 | Sharon D Reynolds | Nurse Practitioner | 346 Deep South Farm Rd Ste B, Blairsville, GA 30512-2218 | 2006-12-29 |
| Street Address |
2999 NE 181ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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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.