MICHELLE REYNOLDS (NPI# 1669906053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669906053 |
| Entity Type | Individual |
| Full Name | MICHELLE REYNOLDS |
| Credential | MD |
| Practice Address |
240 Willow St Tyler MN 56178-1201 |
| Practice Telephone | 5072475521 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 68255 | MN | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689167819 | Michelle Reynolds | Military Health Care Provider | 14 Beechwood Rd, Hudson, NH 03051-3401 | 2018-06-12 |
| 1285130781 | Michelle Reynolds | Physical Therapy Assistant | 10089 N Oak Rd E, Cedar Hills, UT 84062-9026 | 2018-04-03 |
| 1235519372 | Michelle Marie Reynolds | Technician, Other | 1190 N Ferris Rd, Sumner, MI 48889-9701 | 2015-06-03 |
| 1952732695 | Michelle Reynolds | Substance Abuse Rehabilitation Facility | 218 E Orangeburg Ave, Modesto, CA 95350-5313 | 2013-12-05 |
| 1619231446 | Michelle Lynne Reynolds | Specialist | 136 Mount Sinai Ave, Mount Sinai, NY 11766-2356 | 2012-06-26 |
| 1356535850 | Michelle Monaco Reynolds | Psychologist | 90 Royal Oak Dr, Durham, CT 06422-1410 | 2007-08-28 |
| 1770613101 | Michelle Reynolds | Dentist | 305 Blair Ave, Friday Harbor, WA 98250-8076 | 2007-03-06 |
| 1356952857 | Michelle Monique Reynolds | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2020-08-10 |
| 1073123113 | Michelle Renee Reynolds | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-08-04 |
| 1366941957 | Michelle Renee Reynolds | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-02-08 |
| Street Address |
240 WILLOW ST |
| City | TYLER |
| State | MN |
| Zip Code | 56178-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501159 | Enrico Ocampo | Internal Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-01-09 |
| 1467927657 | Travis Erickson | Nurse Practitioner | 240 Willow St, Tyler, MN 56178-1201 | 2018-10-04 |
| 1003392911 | Gail Beck | Occupational Therapy Assistant | 240 Willow St, Tyler, MN 56178-1201 | 2018-07-13 |
| 1134563653 | Christopher Stephen Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2013-04-26 |
| 1235186230 | Richard L Klingler | Family Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-27 |
| 1821042920 | Avera Tyler | Skilled Nursing Facility | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-22 |
| 1649223439 | Avera Tyler | Clinic/Center | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1104870948 | Edward B Novak | Family Medicine | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1992759674 | Avera Tyler | Home Health | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-19 |
| 1225081474 | Robert William Tatreau | Family Medicine | 240 Willow St, Tyler, MN 56178 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1639235971 | John Rice Utoft | Dentist | 197 North Tyler St, Tyler, MN 56178 | 2006-12-29 |
| 1154415172 | April Rose Hanson | Pharmacist | 240 Willow Street, Tyler, MN 56178 | 2006-10-03 |
| 1285676874 | Koster Pharmacy | Pharmacy | 183 N Tyler St, Tyler, MN 56178 | 2006-06-11 |
| 1104178946 | Candice Lou Vanderplaats | Nurse Practitioner | 240 Willow Street, Tyler, MN 56178 | 2012-10-03 |
| 1184832891 | Tyler Healthcare Center Dba Tyler Healthcare Pharmacy | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178 | 2007-05-18 |
| 1326102237 | Avera Tyler | Medicare Defined Swing Bed Unit | 240 Willow Street, Tyler, MN 56178 | 2006-12-22 |
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1871546606 | Avera Tyler | Hospice Care, Community Based | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1801840517 | Avera Tyler | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| Find all providers in zip 56178 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| 1033723895 | Dylan Horinek | Student in an Organized Health Care Education/Training Program | 913 Beth Dr, Tyler, TX 75703-4813 | 2020-08-31 |
| 1326669060 | Vijay Krishna Kuppurajan | Student in an Organized Health Care Education/Training Program | 11937u Hwy 271, Tyler, TX 75708-3154 | 2020-05-05 |
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1730663436 | Michael Stephen Lowe | Student in an Organized Health Care Education/Training Program | 3201 Lexington Dr, Tyler, TX 75701-6663 | 2018-09-18 |
| 1659855476 | Victoria Ezeh | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-18 |
| 1972086999 | Raul De Jesus Olmos Cervantes | Student in an Organized Health Care Education/Training Program | 1538 N Ross Ave, Tyler, TX 75702-4143 | 2018-09-14 |
| 1942783907 | Deborah Adeyemo | Student in an Organized Health Care Education/Training Program | 2310 Haverhill Dr Apt 812, Tyler, TX 75707-4511 | 2018-09-14 |
| 1518491588 | Azael Arizpe Jr. | Student in an Organized Health Care Education/Training Program | 1530 Lenora Ave, Tyler, TX 75702-2632 | 2017-04-17 |
| 1609224393 | Nicole Goodman | Student in an Organized Health Care Education/Training Program | 13172 State Highway 64 E, Tyler, TX 75707-5340 | 2016-06-02 |
| Find all providers in TYLER | ||||
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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.