MR. JAMES REYNOLDS (NPI# 1811366164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811366164 |
| Entity Type | Individual |
| Full Name | MR. JAMES REYNOLDS |
| Credential | ACNP |
| Practice Address |
415 Lanthorn Ln Gearhart OR 97138-7058 |
| Practice Telephone | 5419618384 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
201506925NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1831587351 | James Reynolds | Community/Behavioral Health | 3606 N Rancho Dr Ste 144, Suite 102 # 4, Las Vegas, NV 89130-3196 | 2015-01-06 |
| 1598168304 | James Reynolds | Internal Medicine | 2855 Lafayette Dr, Boulder, CO 80305-7106 | 2014-10-07 |
| 1992140016 | James Antonio Reynolds | Case Manager/Care Coordinator | 10178 Snowflake Ln, Cincinnati, OH 45251-1209 | 2013-05-02 |
| 1891005419 | James E. Reynolds II | Speech-Language Pathologist | 5337 S Wabash Ave, Unit 1, Chicago, IL 60615-4601 | 2010-10-16 |
| 1790013985 | James Frank Reynolds | Pharmacist | 3021 Sandy Pkwy Bldg 2 Ste Ab, Columbus, GA 31909 | 2009-11-26 |
| 1285960559 | James Louis Reynolds Sr. | Pediatrics | 808 Rue Decatur, Metairie, LA 70005-3462 | 2009-10-21 |
| 1467686451 | James David Reynolds | Dentist | 5000 Brambleton Ave, Roanoke, VA 24018-4642 | 2009-05-06 |
| 1295898898 | James Russell Reynolds | Chiropractor | 33 Plymouth Street, Suite Ll1, Montclair, NJ 07042-2677 | 2006-12-18 |
| 1659449841 | James F Reynolds | Dentist | 15 Central Street, Andover, MA 01810 | 2006-12-04 |
| Street Address |
415 LANTHORN LN |
| City | GEARHART |
| State | OR |
| Zip Code | 97138-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679041115 | Kendra Kathryn Mundstock | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # 13k, Portland, OR 97239-3011 | 2018-11-02 |
| 1659801785 | Christine Haboush | Nurse Practitioner | 6015 Ne Skidmore St, Portland, OR 97218-2225 | 2017-06-12 |
| 1386042315 | Jessica Mayer | Nurse Practitioner | 122 Se 80th Ave, Portland, OR 97215-1522 | 2014-12-08 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1992044580 | Meghan Hisatomi Saito | Nurse Practitioner | 19910 Bluegrass Cir, West Linn, OR 97068-2338 | 2013-02-03 |
| 1417284175 | Derek Neil Bowers | Nurse Practitioner | 2836 Ne Bryce St, Portland, OR 97212-1640 | 2009-11-17 |
| 1982820692 | Hilary Anne Shreves | Nurse Practitioner | 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 | 2007-04-18 |
| 1821162728 | Deborah Jean Reynolds | Nurse Practitioner | 31313 Fairview Road #1450, Rainier, OR 97048 | 2006-11-20 |
| 1093713505 | Valerie Baldwin-thomas | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2005-07-08 |
| 1639174287 | Dawn F. Tilgner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-19 |
| 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.