ELLEN REYNOLDS (NPI# 1457759300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457759300 |
| Entity Type | Individual |
| Full Name | ELLEN REYNOLDS |
| Credential | PA-C |
| Practice Address |
120 N C Ave Thermopolis WY 82443-2410 |
| Practice Telephone | 3078645534 |
| Practice Fax Number | 3078649470 |
| Mailing Telephone | 3078645534 |
| Mailing Fax Number | 3078649470 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PT624 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780898874 | Ellen Mary Reynolds | Registered Nurse | 11002 W Laurelwood Ln, Avondale, AZ 85323-4036 | 2007-05-09 |
| 1174146484 | Ellen Marie Reynolds | Counselor | 7602 Big Bend Blvd, Saint Louis, MO 63119-2106 | 2020-05-20 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| 1043528441 | Ellen Aaker Reynolds | Nurse Practitioner | 4401 Penn Avenue, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2010-09-20 |
| 1114126661 | Ellen Reynolds | Physical Therapist | 68 Sweeten Creek Rd, Asheville, NC 28803-2318 | 2007-07-15 |
| 1679622542 | Ellen M Reynolds | Surgery | 100 E Idaho St, Ste 300, Boise, ID 83712-6267 | 2007-01-09 |
| Street Address |
120 N C AVE |
| City | THERMOPOLIS |
| State | WY |
| Zip Code | 82443-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959168 | Wade Travis Bomengen | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2006-02-01 |
| 1245719475 | Mitchell F Volin | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443 | 2018-08-08 |
| 1245747872 | Hot Springs County Hospital District | Clinic/Center | 120 N C Ave, Thermopolis, WY 82443-2410 | 2018-01-04 |
| 1508308065 | Linsey Kaye Brooks | Nurse Practitioner | 120 N C Ave, Thermopolis, WY 82443-2410 | 2016-11-14 |
| 1811374010 | Mattson Mathey | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2015-04-27 |
| 1255770814 | Hallie Yvonne Bischoff | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2013-06-17 |
| 1063598514 | Joy Lynn Magruder | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2006-10-27 |
| 1114969698 | Thomas E Radosevich | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2006-06-11 |
| 1417902354 | Jason Christopher Weyer | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2006-05-22 |
| 1194792457 | Red Rock Family Practice, PC | Family Medicine | 120 N C Ave, Thermopolis, WY 82443-2410 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992938419 | Garry Freel | Case Manager/Care Coordinator | 844 Richards St., Thermopolis, WY 82443 | 2009-09-01 |
| 1467600783 | Jantina Anna Manning | Speech-Language Pathologist | 130 Highway 20 South, Thermopolis, WY 82443 | 2008-08-28 |
| 1982882924 | Glenn E Bishop | Chiropractor | 526 Big Horn, Thermopolis, WY 82443 | 2008-02-01 |
| 1801080874 | Karen April Leyba | Speech-Language Pathologist | 1025 Shoshoni Rd, Thermopolis, WY 82443 | 2007-08-31 |
| 1043403199 | Marcia Ann Nelson | Occupational Therapist | 1025 Shoshoni, Childrens Resource Center, Thermopolis, WY 82443 | 2007-08-22 |
| 1639217144 | Northwest Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 250 East Arapahoe Street, Thermopolis, WY 82443 | 2007-02-05 |
| 1144368366 | Guy C Drake | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2007-02-01 |
| 1639586571 | Mary Margaret Brown | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2014-07-11 |
| 1679813554 | Joseph B. Stringer | Counselor | 121 S 4th St, Thermopolis, WY 82443 | 2013-02-28 |
| 1982932265 | Paintbrush Dental, PC | Clinic/Center | 110 E Arapahoe St, Thermopolis, WY 82443 | 2009-11-25 |
| Find all providers in zip 82443 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | THERMOPOLIS |
| Zip Code | 82443 |
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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.