ROBERT CHADD REYNOLDS (NPI# 1689189656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689189656 |
Entity Type | Individual |
Full Name | ROBERT CHADD REYNOLDS |
Practice Address |
17740 W Stella Ln Waddell AZ 85355-9640 |
Practice Telephone | 7028245765 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497283402 | Robert David Reynolds Jr. | Nurse Practitioner | 557 Hickory Rd, Bristol, TN 37620-6059 | 2017-06-03 |
1457612376 | Robert Michael Reynolds | Licensed Vocational Nurse | 8180 Stoney Creek Rd, Jackson, CA 95642-9483 | 2012-06-06 |
1366673535 | Robert Dee Reynolds | Specialist | 11300 Coloma Rd Ste A11, Gold River, CA 95670-4476 | 2009-08-05 |
1063473767 | Robert M Reynolds | Anesthesiology | 710 Water St, Kerrville, TX 78028-5329 | 2006-03-31 |
1043210263 | Robert B Reynolds | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-07-29 |
1740821099 | Robert Dale Reynolds Jr. | Registered Nurse | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2019-10-07 |
1417418138 | Robert B. Reynolds | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-03-26 |
1033616487 | Robert Reynolds | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-11 |
1952802621 | Robert Reynolds | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-02-27 |
1184075970 | Robert Brian Reynolds | Pharmacist | 3210 Banksville Rd, Pittsburgh, PA 15216-2757 | 2016-06-23 |
Street Address |
17740 W STELLA LN |
City | WADDELL |
State | AZ |
Zip Code | 85355-9640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295135432 | Jennifer Fowler | Psychologist | 6431 N 181st Ave, Waddell, AZ 85355 | 2014-08-25 |
1033272646 | Norma M Hernandez | Technician | 18220 West North Court, Waddell, AZ 85355 | 2006-12-18 |
1356885164 | Elite Assisted Living Home | Assisted Living Facility | 15928 W Ironwood Dr, Waddell, AZ 85355-2001 | 2016-12-13 |
1326377565 | Amber Marie Werner | Military Health Care Provider | 9603 N 179th Dr, Waddell, AZ 85355-4107 | 2009-12-17 |
1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
1528607108 | Amie Raina Cooke | Nurse Practitioner | 18072 W Vogel Ave, Waddell, AZ 85355-4133 | 2019-12-31 |
1245878982 | Ndolia Noma Carew Schild | Counselor | 17949 W Purdue Ave, Waddell, AZ 85355-4143 | 2019-12-12 |
1235307455 | Corrie Castelluccio | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2008-02-11 |
1578020285 | Shea Grant | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2019-02-28 |
1073015061 | Sarah Patricia Pratt | Specialist/Technologist | 17958 W Brown St, Waddell, AZ 85355-4151 | 2018-03-06 |
Find all providers in zip 85355 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972788750 | Bernard Oscar Mares | Technician/Technologist | 3844 N 32nd St, Suite 5, Phoenix, AZ 85018-4928 | 2007-12-30 |
1376151241 | Robert James Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
1811505795 | Kylie Brown | Technician/Technologist | 3025 S Kenneth Pl, Tempe, AZ 85282-3942 | 2020-07-16 |
1477962660 | Trent T Hadlock | Technician/Technologist | 1355 S Higley Rd Ste 111, Gilbert, AZ 85296-4799 | 2014-08-13 |
1730359688 | Allan M. Anhalt | Technician/Technologist | 2122 N Craycroft Rd, Suite 118, Tucson, AZ 85712-2849 | 2008-03-06 |
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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.