MARY BETH REYNOLDS (NPI# 1356824098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356824098 |
| Entity Type | Individual |
| Full Name | MARY BETH REYNOLDS |
| Credential | FNP-BC, APNP |
| Practice Address |
1511 Railroad Ave Prentice WI 54556-1155 |
| Mailing Address |
N292 Lamer Dr Ogema WI 54459-8764 |
| Practice Telephone | 7154282521 |
| Practice Fax Number | 7154282522 |
| Mailing Telephone | 7157675199 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8691-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1121 Hwy 102, Rib Lake, WI 54470 | 7154275701 | 7154273863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047148 | Mary Stout Reynolds | Social Worker | 39 Main St Ste 31, Northampton, MA 01060-3578 | 2018-09-19 |
| 1265741359 | Mary Elizabeth Reynolds | Speech-Language Pathologist | 1572 Lakeside Dr, Wantagh, NY 11793-2444 | 2010-10-07 |
| 1053507988 | Mary Elizabeth Reynolds | Social Worker | 1036 Elgin Ave, 1st Floor, Forest Park, IL 60130-2856 | 2007-09-25 |
| 1083736623 | Mary Catherine Reynolds | Social Worker | 110 Northview Ct, Staten Island, NY 10301-1363 | 2007-04-04 |
| 1306907175 | Mary Elizabeth Reynolds | Speech-Language Pathologist | One John Marshall Drive, Marshall University Speech and Hearing Center, Huntington, WV 25755-2675 | 2006-12-13 |
| 1407824048 | Mary Jo Reynolds | Physical Therapist | 315 8th St, Lincoln, IL 62656-2671 | 2006-03-09 |
| 1790782944 | Mary Reynolds | Family Medicine | 409 Antero St, Golden, CO 80401-5291 | 2005-07-01 |
| 1831725621 | Mary L Reynolds | Registered Nurse | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 | 2020-03-12 |
| 1659939585 | Mary Catherine Reynolds | Dentist | 106 Central Blvd, Flora, MS 39071-8003 | 2019-06-05 |
| 1215593173 | Mary Casey Reynolds | Health Educator | 100 W 10th St Ste 1100, Wilmington, DE 19801-6607 | 2019-05-16 |
| Street Address |
1511 RAILROAD AVE |
| City | PRENTICE |
| State | WI |
| Zip Code | 54556-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710066584 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2006-11-03 |
| 1053817056 | Melissa Dawn Belle | Nurse Practitioner | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326229972 | Prentice School District | Local Education Agency (LEA) | 1025 Town Street, Prentice, WI 54556 | 2007-11-23 |
| 1407883655 | Richard John Reilly | Dentist | 1209 Railroad Ave, Prentice, WI 54556 | 2006-06-26 |
| 1740218247 | Jonathan Blake Morey | Family Medicine | 1511 Railroad Avenue, Prentice, WI 54556-0140 | 2006-06-30 |
| 1528355989 | Gentle Touch Chiropractic, LLC | Clinic/Center | 1501 Railroad Avenue, Prentice, WI 54556-0211 | 2011-07-06 |
| 1740470087 | Prentice Volunteer Fire Department and Ambulance Service | Ambulance | 605 Spruce St, Prentice, WI 54556-1125 | 2007-08-01 |
| 1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
| 1174702419 | David L Schultz | Physical Therapist | 619 Bridge St, Prentice, WI 54556-1131 | 2007-11-02 |
| 1467965491 | Stable Reins, LLC | Clinic/Center | N5405 County Road A, Prentice, WI 54556-9432 | 2017-11-13 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817056 | Melissa Dawn Belle | Nurse Practitioner | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY BETH REYNOLDS.
| 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.