KRISTA MAE LYNETT REAGAN (NPI# 1720251523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720251523 |
| Entity Type | Individual |
| Full Name | KRISTA MAE LYNETT REAGAN |
| Credential | M.D. |
| Practice Address |
1901 S Union Ave Tacoma WA 98405-1702 |
| Mailing Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2533015120 |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD60679236 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 S UNION AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071394 | Advanced Physical Therapy & Balance Rehabilitation LLC | Clinic/Center | 1901 S Union Ave, Ste B7011, Tacoma, WA 98405-1807 | 2005-05-24 |
| 1770183345 | Alex Marie Goode | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-31 |
| 1871191239 | Amy N Winter | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-16 |
| 1417555251 | Aleah Driscoll | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-14 |
| 1982211470 | Vanessa Gray | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-09-28 |
| 1386258192 | Julia Raquel Teall | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-31 |
| 1073126033 | Hannah Rose Hugo | Dietitian, Registered | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-28 |
| 1538786124 | Ashley Jane Wells | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-06-29 |
| 1750917878 | Elizabeth Eredia | Behavior Technician | 1901 S Union Ave, Allenmore Building B Suite 6007, Tacoma, WA 98405 | 2020-03-20 |
| 1083252225 | Arianna Pernela | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
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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.