CASEY JAY REYNOLDS JR. (NPI# 1629551247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629551247 |
| Entity Type | Individual |
| Full Name | CASEY JAY REYNOLDS JR. |
| Credential | DNP, NP-C |
| Practice Address |
5505 S 900 E Ste 240 Murray UT 84117-7210 |
| Mailing Address |
Po Box 3299 Carson City NV 89702-3299 |
| Practice Telephone | 8017835011 |
| Practice Fax Number | 8017463734 |
| Mailing Telephone | 7752220042 |
| Mailing Fax Number | 7754311013 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4868927-3102 | UT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4868927-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891274353 | Casey Reynolds | Dentist | 2101 Peters Creek Pkwy, Winston Salem, NC 27127-3726 | 2018-08-07 |
| Street Address |
5505 S 900 E STE 240 |
| City | MURRAY |
| State | UT |
| Zip Code | 84117-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194709956 | Sanjeev Bakshi | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117 | 2005-12-05 |
| 1184280869 | Trenton Lane Williams | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2019-05-17 |
| 1710542949 | Leslie C Cluff | Physician Assistant | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2019-05-02 |
| 1326514274 | Emilia Fischer | Registered Nurse | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2018-10-18 |
| 1124518303 | Balimar B Lindgren | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2018-05-14 |
| 1487182705 | Linda Susan Iqbal | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2017-05-31 |
| 1821452269 | Stein Ingebretsen | Hospitalist | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2016-04-12 |
| 1700289287 | Kristina Marie Rae | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117 | 2014-09-29 |
| 1053724856 | Michelle Hall | Nurse Practitioner | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2014-06-09 |
| 1780003061 | Daniel Wightman | Internal Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076230 | Laken Nicole Darnell | Nurse Practitioner | 1601 Highway 121 Byp N Ste B, Murray, KY 42071-8759 | 2020-09-01 |
| 1851940282 | Shawna Niles | Nurse Practitioner | 201 E 5900 S Ste 100, Murray, UT 84107-5429 | 2019-09-09 |
| 1780156661 | Shane Jaimez | Nurse Practitioner | 166 E 5900 S Ste B109, Murray, UT 84107-7293 | 2018-12-17 |
| 1205304581 | Kristina Dantzel Crane | Nurse Practitioner | 5781 S Meadowcrest Dr, Murray, UT 84107-6501 | 2018-11-05 |
| 1649759069 | James C Taylor | Nurse Practitioner | 5848 S Fashion Blvd # 300e, Murray, UT 84107-6170 | 2018-08-07 |
| 1891291316 | Zackery Ross Wilkes | Nurse Practitioner | 5169 S Cottonwood St # 510, Murray, UT 84107-6767 | 2018-04-03 |
| 1396266177 | Rita Rutland | Nurse Practitioner | 308 E 4500 S Ste 280, Murray, UT 84107-3975 | 2017-06-30 |
| 1164951737 | Joanie Marie Limb | Nurse Practitioner | 835 E 4800 S Ste 230, Murray, UT 84107-5535 | 2017-06-07 |
| 1689113334 | Carolyn Winchester | Nurse Practitioner | 506 Lynnwood Ct, Murray, KY 42071-2218 | 2017-02-14 |
| 1053757492 | Shannon Velaine Shepherd | Nurse Practitioner | 1106 E 6600 S # 100, Murray, UT 84121-2446 | 2013-05-13 |
| Find all providers in MURRAY | ||||
Please comment or provide details below to improve the information on CASEY JAY REYNOLDS JR..
| 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.