MICHELLE REID (NPI# 1669001863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669001863 |
| Entity Type | Individual |
| Full Name | MICHELLE REID |
| Practice Address |
1741 Sycamore Ave Kingman AZ 86409-0927 |
| Mailing Address |
3707 N Stockton Hill Rd Ste B Kingman AZ 86409-0507 |
| Practice Telephone | 9287577872 |
| Mailing Telephone | 9287578111 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RNP240241 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 004681 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669833828 | Michelle Reid | Home Health Aide | 5402 31st Ave S, Seattle, WA 98108-3023 | 2016-03-16 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| 1821180811 | Michelle D. Reid | Pathology | 550 Peachtree Street, Emory University Hospital Midtown, Department of Pathology, Davis Fischer Bldg, Room 1325, Atlanta, GA 30308-0004 | 2006-09-28 |
| 1902349756 | Michelle Reid | Occupational Therapist | 2965 20th St, Vero Beach, FL 32960-3097 | 2016-11-28 |
| 1427417385 | Michelle Reid | Physician Assistant | 614 Maco Dr, Harlingen, TX 78550-8450 | 2016-02-19 |
| 1215337712 | Michelle Andrea Reid | Counselor | 801 Douglas Ave, Altamonte Springs, FL 32714-5206 | 2014-09-03 |
| 1801215389 | Michelle Amanda Reid | Nurse Practitioner | 537 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986-1620 | 2014-04-10 |
| 1366783086 | Michelle Reid | Registered Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2013-03-05 |
| 1376532630 | Michelle Reid | Counselor | 1425 Starr Ave, Toledo, OH 43605-2456 | 2005-10-19 |
| Street Address |
1741 SYCAMORE AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-0927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511430 | Kenneth L Gaspar | Social Worker | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2005-10-11 |
| 1760611677 | Gerhard Francois Gomez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2009-07-13 |
| 1538346994 | Emmerll Rackley | Nurse Practitioner | 1741 Sycamore Ave, 3508 Western Ave, Kingman, AZ 86409-0927 | 2008-01-29 |
| 1780752816 | Celia Rodriguez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855373 | Jared Bennett | Nurse Practitioner | 2215 Hualapai Mountain Rd Ste H, Kingman, AZ 86401-8324 | 2015-11-04 |
| 1366502486 | Naomi Brown | Nurse Practitioner | 2215 Hualapai Mountain Rd, Suite H and I, Kingman, AZ 86401-8324 | 2006-12-11 |
| 1457960742 | Dana Pleshette Smith Zimmermann | Nurse Practitioner | 3505 Western Ave, Kingman, AZ 86409-3071 | 2020-07-23 |
| 1417402280 | Ian James Adams | Nurse Practitioner | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2016-08-22 |
| 1023482627 | Joanna J Wade | Nurse Practitioner | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2015-11-19 |
| 1346616174 | Michael Serrano | Nurse Practitioner | 3505-a Western Ave, Kingman, AZ 86409 | 2015-08-17 |
| 1538346994 | Emmerll Rackley | Nurse Practitioner | 1741 Sycamore Ave, 3508 Western Ave, Kingman, AZ 86409-0927 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| 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.