HEATHER REYNOLDS (NPI# 1447655063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447655063 |
| Entity Type | Individual |
| Full Name | HEATHER REYNOLDS |
| Credential | PA-C |
| Practice Address |
3705 N 6100 W Ivins UT 84738 |
| Mailing Address |
22 W 23rd St Fl 5 New York NY 10010-5240 |
| Practice Telephone | 4356888198 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
352929-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104163518 | Heather Jo Reynolds | Speech-Language Pathologist | 2931 Woodelm Dr, Rochester Hills, MI 48309-4324 | 2013-01-07 |
| 1700100807 | Heather Reynolds | Behavioral Analyst | 17 Leland Point Dr, Portsmouth, RI 02871-6313 | 2010-03-17 |
| 1053455360 | Heather Mcree Reynolds | Pharmacist | 114 Hancock St S, Fort Gaines, GA 39851-4338 | 2007-02-19 |
| 1346388535 | Heather Lee Reynolds | Dentist | 102 W Progress Dr, Princeton, IL 61356-8601 | 2007-02-01 |
| 1396367835 | Heather Reynolds | Occupational Therapy Assistant | 1200 W College St, Liberty, MO 64068-1036 | 2020-05-06 |
| 1104312743 | Heather Nicole Reynolds | Behavior Technician | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2018-07-06 |
| 1023515772 | Heather Nichole Reynolds | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-04-10 |
| 1265979892 | Heather Ann Reynolds | Nurse Practitioner | 2409 Mitchell Rd, Bedford, IN 47421-4731 | 2017-01-20 |
| 1790185619 | Heather Reynolds | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2014-08-28 |
| 1477966075 | Heather Reynolds | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428-5802 | 2014-06-11 |
| Street Address |
3705 N 6100 W |
| City | IVINS |
| State | UT |
| Zip Code | 84738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366783466 | Avalon Care Center - Va Ivins, LLC | Skilled Nursing Facility | 160 North 200 East, Ivins, UT 84738 | 2013-03-14 |
| 1639274574 | Mark Lee Wardle | Family Medicine | 255 E Center St, Ivins, UT 84738 | 2006-09-14 |
| 1083670459 | Raymond Jack Middleton | Family Medicine | 653 South 170 West, Ivins, UT 84738 | 2006-04-25 |
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1700331162 | At Home Care and Health Services | In Home Supportive Care | 639 S 315 E, Ivins, UT 84738-5054 | 2016-08-16 |
| 1609315431 | At Home Care and Health Services LLC | Private Vehicle | 639 S 315 E, Ivins, UT 84738-5054 | 2017-02-13 |
| 1841515889 | Donna Alexander | Speech-Language Pathologist | 302 S 380 W, Ivins, UT 84738-5104 | 2010-04-01 |
| 1649353822 | Superior Audiology Inc | Audiologist | 920 Mesa Vista Dr, Ivins, UT 84738-6027 | 2006-10-23 |
| 1952524266 | Benita Kruzel | Radiology | 313 Painted Hills Dr, Ivins, UT 84738-6082 | 2007-04-11 |
| 1770939472 | Wwb | Internal Medicine | 160 N 200 E, Ivins, UT 84738-6100 | 2016-05-11 |
| Find all providers in zip 84738 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
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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.