RUSS K REYNOLDS (NPI# 1679610356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679610356 |
| Entity Type | Individual |
| Full Name | RUSS K REYNOLDS |
| Credential | RT |
| Practice Address |
220 25th St Ne East Wenatchee WA 98802-4097 |
| Practice Telephone | 5098840602 |
| Practice Fax Number | 5098840602 |
| Mailing Telephone | 5098840602 |
| Mailing Fax Number | 5098840602 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
RT00003044 | WA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7015290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114361037 | Russ Reynolds | Psychologist | 301 Bear Creek Rd., Oak Ridge, TN 37831-2820 | 2013-04-22 |
| Street Address |
220 25TH ST NE |
| City | EAST WENATCHEE |
| State | WA |
| Zip Code | 98802-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821268855 | Russ Reynolds | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 220 25th St Ne, East Wenatchee, WA 98802-4097 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215483 | Nicole Christinia Johnson | Dietitian, Registered | 50 Simon Street Se Suite A, East Wenatchee, WA 98802 | 2017-02-28 |
| 1013394337 | Robbie Bowling | Counselor | 636 Valley Mall Parkway, Suite 200, East Wenatchee, WA 98802 | 2015-05-06 |
| 1437572203 | Aging & Adult Care of Central Washington | Case Management | 270 9th Street Ne Suite 100, East Wenatchee, WA 98802 | 2014-01-29 |
| 1417379900 | Kathryn Marie Gallik Maccallum | Occupational Therapist | 1983 Legendary Ln Se, East Wenatchee, WA 98802 | 2014-01-17 |
| 1649606328 | Hilary Kathleen Mann | Massage Therapist | 304 Grant Road, Suite #1, East Wenatchee, WA 98802 | 2013-09-25 |
| 1932544988 | Sound Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 640 Valley Mall Pkwy Ste B, East Wenatchee, WA 98802 | 2013-05-03 |
| 1346519329 | Lindsay N Grode | Massage Therapist | 667 Grant Road, Suite 3, East Wenatchee, WA 98802 | 2011-12-21 |
| 1952601726 | Lizette Corral | Massage Therapist | 2434 Bellanca St, East Wenatchee, WA 98802 | 2010-10-27 |
| 1548415615 | Ashley Cristine Neumann | Counselor | 558 Morning View Ave, Ste 100, East Wenatchee, WA 98802 | 2008-11-17 |
| 1962528950 | Diana Maria Villalobos | Counselor | 220 Eastmont Ave Childrens Home Society of Washington, Suite B, East Wenatchee, WA 98802 | 2007-03-21 |
| Find all providers in zip 98802 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508311366 | Ramanpreet Dhaliwal | Radiologic Technologist | 10615 Se 256th St, Ste 101, Kent, WA 98030-6809 | 2016-08-22 |
| 1013233782 | Scott A Yount | Radiologic Technologist | Msron Nine 2000 W Marine View Dr, Everett, WA 98207-0001 | 2010-04-20 |
| 1215160221 | Andrew John Leyva | Radiologic Technologist | 701 5th Ave Ste 213, Seattle, WA 98104-7033 | 2009-08-25 |
| 1255951661 | Genevieve Hill | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-04-26 |
| 1740800143 | Jennifer Kuang | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2499 | 2020-04-26 |
| 1376163774 | Renee Jackson | Radiologic Technologist | 325 9th Ave, Seattle, WA 98104-2499 | 2020-04-26 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1710312772 | Alma Miller | Radiologic Technologist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2013-09-10 |
| 1114060001 | Antoine Tahkeal | Radiologic Technologist | 401 Buster Rd, Toppenish, WA 98948-9792 | 2007-02-14 |
| 1811043706 | Valley Mobile X-ray, Inc. | Radiologic Technologist | 308 N 6th Ave, Yakima, WA 98902-2114 | 2007-01-25 |
| Find all providers with the same taxonomy | ||||
| City | EAST WENATCHEE |
| Zip Code | 98802 |
Please comment or provide details below to improve the information on RUSS K REYNOLDS.
| 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.