JESSICA S REYNOLDS (NPI# 1396375598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396375598 |
| Entity Type | Individual |
| Full Name | JESSICA S REYNOLDS |
| Credential | NP |
| Practice Address |
1011 Main St Ste 140 Indianapolis IN 46224-6980 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3179579000 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009694A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300034478 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793663 | Jessica Reynolds | Registered Nurse | 2645 N Walnut Ave, Tucson, AZ 85712-1827 | 2015-03-04 |
| 1538587670 | Jessica Alyse Reynolds | Speech-Language Pathologist | 1549 Ravana Dr, Orlando, FL 32822-8029 | 2014-04-05 |
| 1013226224 | Jessica Lynn Reynolds | Occupational Therapist | 56 Country Club Dr, Mount Marion, NY 12456 | 2010-10-05 |
| 1194336685 | Jessica Reynolds | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-08-10 |
| 1205475373 | Jessica Ann Reynolds | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2020-01-06 |
| 1285198580 | Jessica Reynolds | Behavior Technician | 17b Caledon Ct, Greenville, SC 29615-3170 | 2019-01-31 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1164901575 | Jessica H Reynolds | Physical Medicine & Rehabilitation | 843 Wake Forest Business Park Ste 110, Wake Forest, NC 27587-6578 | 2018-08-08 |
| 1518443217 | Jessica Reynolds | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2018-07-16 |
| 1699275412 | Jessica Leigh Reynolds | Registered Nurse | 1215 Lee St, Charlottesville, VA 22908 | 2018-02-19 |
| Street Address |
1011 MAIN ST STE 140 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46224-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154832020 | Wendy A Booker | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050033 | O&a Homecare Services, LLC | Home Health Aide | 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 | 2018-07-27 |
| 1760976039 | Felecia Shelby | Home Health | 1850 Foyt Drive Apt D, Indianapolis, IN 46224 | 2018-06-19 |
| 1720439516 | Adam Kyle Craig | Counselor | 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 | 2016-06-23 |
| 1407223506 | Gouri Chitalapudi | Physical Therapist | 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 | 2015-08-25 |
| 1710266770 | Starr Angeline Song | Contractor | 2819 Embassy Row, 819, Indianapolis, IN 46224 | 2011-08-09 |
| 1699075739 | Accuquest Hearing Centers, LLC | Clinic/Center | 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 | 2010-10-22 |
| 1659549962 | Guy Elliot Lovell Sr. | Social Worker | 25 Beachway Drive, Suite C, Indianapolis, IN 46224 | 2008-02-20 |
| 1316128614 | Indianapolis Independent Pediatricians, P.C. | Pediatrics | 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 | 2007-11-15 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| 1467660928 | Joseph T Hudson | Dentist | 2840 N. High School Rd., Speedway, IN 46224 | 2007-05-18 |
| Find all providers in zip 46224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
Please comment or provide details below to improve the information on JESSICA S 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.