AUDREE JEAN REYNOLDS (NPI# 1609973221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609973221 |
| Entity Type | Individual |
| Full Name | AUDREE JEAN REYNOLDS |
| Credential | FNP-C |
| Practice Address |
4875 Maxwell Ave El Paso TX 79904-1450 |
| Mailing Address |
3607 Rivera Ave El Paso TX 79905-2415 |
| Practice Telephone | 9155337057 |
| Practice Fax Number | 9157571640 |
| Mailing Telephone | 9155337057 |
| Mailing Fax Number | 9157571640 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
419649 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 103873902 | 05 | |
| TX | RN & FNP LICENSE | 419649 | 01 |
| Street Address |
4875 MAXWELL AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79904-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423656 | Lissette Angelica Amparan | Social Worker | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2020-10-07 |
| 1881034395 | Sandra Villavicencio | Family Medicine | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2013-06-28 |
| 1770895815 | Daniel William Sudimack | Dentist | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2010-07-06 |
| 1992016620 | Crystal Estrada | Dentist | 4875 Maxwell Ave, El Paso, TX 79904-1559 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
| 1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
| 1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
| 1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
| 1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
| 1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
| 1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
| Find all providers in zip 79904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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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.