RYAN HILLMAN REYNOLDS (NPI# 1245718295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245718295 |
| Entity Type | Individual |
| Full Name | RYAN HILLMAN REYNOLDS |
| Credential | NP |
| Practice Address |
1100 11th St Sw Live Oak FL 32064-3608 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3863620800 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9385174 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595386 | Ryan Kednall Reynolds | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1548800899 | Ryan Reynolds | Behavior Technician | 301 Maple Ave W Ste 330, Vienna, VA 22180-4301 | 2020-01-14 |
| 1861951022 | Ryan C. Reynolds | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-03-18 |
| 1982132783 | Ryan Reynolds | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2017-05-24 |
| 1114459278 | Ryan Reynolds | Student in an Organized Health Care Education/Training Program | 6550 Fannin St # Sm1001, Houston, TX 77030-2717 | 2017-03-29 |
| 1467869792 | Ryan Reynolds | Counselor | 975 Flynn Rd, Camarillo, CA 93012-8704 | 2014-07-18 |
| 1396018982 | Ryan Christopher Reynolds | Pharmacist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-3906 | 2012-02-14 |
| 1568662252 | Ryan Douglas Reynolds | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2007-07-20 |
| 1720116189 | Ryan Earl Reynolds | Counselor | 113 E F St, Tehachapi, CA 93561-1710 | 2007-02-28 |
| Street Address |
1100 11TH ST SW |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538186978 | Mahendra R. Sheth | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2006-07-15 |
| 1114574548 | Kristina Melissa North | Nurse Practitioner | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2019-08-21 |
| 1861900177 | Gabrielle Terry | Pharmacist | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2018-01-21 |
| 1720591613 | Live Oak Hma, LLC | Medicare Defined Swing Bed Unit | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2017-11-14 |
| 1669917472 | Suwannee Emergency Group LLC | Physician Assistant | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2017-01-03 |
| 1720453970 | Melissa Dionne Daniels | Pharmacist | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2015-12-13 |
| 1487051314 | Nico Dorfling Kristen | Emergency Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2014-11-20 |
| 1093131096 | Frederick Sanders | Pharmacist | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2014-03-14 |
| 1811233505 | Ascension Internal Medicine of Florida, LLC | Internal Medicine | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2012-12-27 |
| 1740561174 | Niaz Ahmed Siddiqui | Pharmacist | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| Find all providers in zip 32064 | ||||
| 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 |
|---|---|---|---|---|
| 1124048186 | Yvonne Deaton Billups | Nurse Practitioner | 1426 Canyon Ave Ne Unit B, Live Oak, FL 32064-4832 | 2006-07-20 |
| 1043219645 | Amber Suzanne Ingram | Nurse Practitioner | 1426 Canyon Ave Ne, Live Oak, FL 32064 | 2005-07-18 |
| 1639704257 | Kimberly Ann Ramos | Nurse Practitioner | 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233-3259 | 2020-03-04 |
| 1962966242 | Toinette M Garza | Nurse Practitioner | 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233-3259 | 2019-01-30 |
| 1114400660 | Julie Eileen Roat | Nurse Practitioner | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2018-09-11 |
| 1184146334 | Monterrey Village Inpatient Services Pllc | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2017-07-10 |
| 1497156566 | Elaine Loretta Zamora | Nurse Practitioner | 12702 Toepperwein Rd Ste 104, Live Oak, TX 78233-3266 | 2014-09-09 |
| 1740509991 | Live Oak Hma Medical Group, LLC | Nurse Practitioner | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2010-05-27 |
| 1427380351 | Melanie Lane Key | Nurse Practitioner | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2010-02-03 |
| 1659547354 | Karen L Perry | Nurse Practitioner | 12702 N Ih 35, Live Oak, TX 78233-2609 | 2008-05-02 |
| Find all providers in LIVE OAK | ||||
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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.