JULIE ANN LISA REYNOLDS (NPI# 1497054464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497054464 |
Entity Type | Individual |
Full Name | JULIE ANN LISA REYNOLDS |
Other Name | JULIE ANN LISA EMMERICH |
Credential | APNP-BC |
Practice Address |
5337 W Grande Market Dr Appleton WI 54913-8442 |
Practice Telephone | 9207317445 |
Mailing Telephone | 9207317445 |
Enumeration Date | 2011-03-16 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 135242-30 | WI | Nursing Service Providers |
N | 363L00000X | Nurse Practitioner | 7843-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7843 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2500 E Capitol Dr, Appleton, WI 54911 | 9208306877 | 9207384792 |
555 S Washburn St, Oshkosh, WI 549046710 | 9202307246 | 9202306544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578948980 | Julie Reynolds | Counselor | 112 W 4th St Ste 5, Moscow, ID 83843-4311 | 2015-07-27 |
1801075304 | Julie Sly Reynolds | Marriage & Family Therapist | 73700 Highway 111, Suite #7, Palm Desert, CA 92260-4019 | 2007-10-31 |
1902925415 | Julie Reynolds | Physical Therapy Assistant | 1000 North St, Pittsfield, MA 01201-1520 | 2007-03-28 |
1528084225 | Julie S. Reynolds | Physical Therapist | 2138 Marguerite St, Dos Palos, CA 93620-2351 | 2006-07-14 |
1619494804 | Julie Reynolds | Counselor | 6021 S Syracuse Way, Greenwood Village, CO 80111-4730 | 2017-08-28 |
1073979126 | Julie Reynolds | Occupational Therapist | 638 Brandywine Pkwy, West Chester, PA 19380-4278 | 2016-01-05 |
1376810390 | Julie Kay Reynolds | Physical Therapist | 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 | 2011-11-18 |
1073896536 | Julie Christine Reynolds | Dentist | 329 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2011-09-21 |
1386797918 | Julie Anne Reynolds | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2007-01-18 |
1275561078 | Julie A Reynolds | Pediatrics | 1225 High St, Wadsworth, OH 44281-9421 | 2006-06-29 |
Street Address |
5337 W GRANDE MARKET DR |
City | APPLETON |
State | WI |
Zip Code | 54913-8442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225074008 | Partnership Community Health Center, Inc | Clinic/Center | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2006-06-21 |
1801400379 | Danielle L Shannon | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-09-02 |
1568080331 | Victoria Nicholson | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-07-08 |
1962034785 | Magdalena Skorupa | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2020-02-10 |
1720645708 | Angela M Pelehac | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2019-05-24 |
1407348485 | Logan Breann Schuiteman | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913 | 2018-06-05 |
1215432687 | Cynthia A Groboski | Counselor | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2018-03-28 |
1710490339 | Olivia Jacobs | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-11-06 |
1669997318 | Wendy Bekx | Dental Hygienist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-08-03 |
1356870307 | Joshua Vanden Heuvel | Dentist | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2017-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
Find all providers in zip 54913 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518519982 | Jacqueline Karlin | Nurse Practitioner | 2535 Northern Rd Ste D, Appleton, WI 54914-8753 | 2019-07-15 |
1700351301 | Jessica Friday | Nurse Practitioner | 3815 Stoney Creek Ct, Appleton, WI 54913-7953 | 2018-10-10 |
1871076273 | Alecia Raschke | Nurse Practitioner | 3232 N Ballard Rd Ste 100, Appleton, WI 54911-8804 | 2018-09-11 |
1386155216 | Mh Health Care Services, PC | Nurse Practitioner | 2175 S Memorial Dr, Appleton, WI 54915-1435 | 2017-10-18 |
1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
1649693326 | Katlyn Sue Hansen | Nurse Practitioner | 2700 E Enterprise Ave Ste B, Appleton, WI 54913-7656 | 2014-01-30 |
1104104892 | Carissa Jo Meyer | Nurse Practitioner | 277 N Altenhofen Dr, Appleton, WI 54913-8401 | 2011-07-28 |
1184882334 | Jana Lynn Esden | Nurse Practitioner | 913 S West Ave, Appleton, WI 54915-2394 | 2008-05-23 |
1659390037 | Linda Jean Middleton | Nurse Practitioner | 10tri Park Way, Appleton, WI 54914 | 2006-07-18 |
1902413081 | Miranda Wendricks | Nurse Practitioner | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2020-09-23 |
Find all providers in APPLETON |
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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.