STEPHANIE REYNOLDS (NPI# 1891903860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891903860 |
| Entity Type | Individual |
| Full Name | STEPHANIE REYNOLDS |
| Practice Address |
2410 Pine St Arkadelphia AR 71923-4335 |
| Mailing Address |
528 N 14th St Arkadelphia AR 71923-4619 |
| Practice Telephone | 8702452210 |
| Mailing Telephone | 8704031262 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108591 | Stephanie Reynolds | Specialist/Technologist | 1444 E Saint Catherine Ave, Phoenix, AZ 85042-4464 | 2018-06-18 |
| 1386095719 | Stephanie L Reynolds | Family Medicine | 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 | 2016-06-27 |
| 1336389972 | Stephanie R. Reynolds | Speech-Language Pathologist | 1410 John St, Wenatchee, WA 98801-6212 | 2009-02-23 |
| 1023597192 | Stephanie Marie Reynolds | Dental Hygienist | 2 E 22nd St Ste 201, Lombard, IL 60148-6105 | 2018-08-09 |
| 1740768605 | Stephanie Kaye Reynolds | Optometrist | 2561 Jacksboro Pike, Jacksboro, TN 37757-4847 | 2018-08-02 |
| 1154779288 | Stephanie Michelle Reynolds | Counselor | 525 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986-1605 | 2016-05-31 |
| 1992107338 | Stephanie Reynolds | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-09-17 |
| 1407148059 | Stephanie Nicole Reynolds | Occupational Therapist | 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028-6031 | 2011-05-13 |
| 1194902692 | Stephanie Antonia Reynolds | Nurse Practitioner | 1250 Waters Pl, Tower 1, Suite 602, Bronx, NY 10461-2720 | 2008-01-28 |
| 1750568432 | Stephanie Reynolds | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2008-01-25 |
| Street Address |
2410 PINE ST |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558256 | Felicia Higgs | Counselor | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2006-02-20 |
| 1508359076 | Shauna D Jackson | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-06-11 |
| 1558851642 | Lluvia Martinez Adame | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-05-14 |
| 1518463397 | Asombra Reed | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-04-02 |
| 1780187641 | Emily K Ball | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-03-16 |
| 1174031793 | Yonda K Holliman | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-01-17 |
| 1841707247 | Faleisha D Milton | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-01-08 |
| 1841705134 | Tierrah D Smith | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2017-12-07 |
| 1497267157 | Whitney J Todd | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2017-11-02 |
| 1720590482 | Makayla D Burnside | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093753 | Jedidiah J Johnson | Day Training/Habilitation Specialist | 3163 Hollywood Rd, Arkadelphia, AR 71923-9360 | 2020-04-30 |
| 1255952537 | Adason J Thornton | Day Training/Habilitation Specialist | 3163 Hollywood Rd, Arkadelphia, AR 71923-9360 | 2020-04-28 |
| 1467811596 | Jamayka Savage | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2016-02-17 |
| 1831557057 | Andrea Espinoza | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2016-02-02 |
| 1154704245 | Christina Marie Shehane | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2015-07-07 |
| 1770710899 | Judith Jenson | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2009-06-16 |
| 1881801090 | Kathleen Nicole Wallace | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2007-05-17 |
| 1407063506 | Amber Frazier | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2007-05-17 |
| 1750598868 | Kimberly Conant | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2007-05-17 |
| 1508073412 | Susan Pharr Atchley | Day Training/Habilitation Specialist | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2007-05-17 |
| Find all providers in ARKADELPHIA | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on STEPHANIE 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.