MCKENZIE VI REYNOLDS (NPI# 1902415219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902415219 |
| Entity Type | Individual |
| Full Name | MCKENZIE VI REYNOLDS |
| Practice Address |
786 Leda Ln Santa Clara UT 84765-5665 |
| Practice Telephone | 4253155702 |
| Mailing Telephone | 4253155702 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
786 LEDA LN |
| City | SANTA CLARA |
| State | UT |
| Zip Code | 84765-5665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275988305 | Caitlin Rose Tharaldson | Social Worker | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-04-26 |
| 1881069706 | Harmon City Inc | Pharmacy | 3520 Pioneer Parkway, Santa Clara, UT 84765 | 2015-12-03 |
| 1225239171 | Jonathan J Kolon | Dentist | 3176 Santa Clara Drive, Santa Clara, UT 84765 | 2007-05-29 |
| 1225139017 | Elizabeth Ann Johnson | Psychologist | 3090 Windmill Circle, Santa Clara, UT 84765 | 2006-09-26 |
| 1427556018 | Brand Bonsall | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2018-01-29 |
| 1104278076 | Michael Scott Mein | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-07-05 |
| 1982050530 | Mary Elizabeth Zaunbrecher | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-05-12 |
| 1073134896 | Connor James Finklea | Student in an Organized Health Care Education/Training Program | 2503 Stefanie Ln, Santa Clara, UT 84765-1217 | 2020-05-04 |
| 1316293368 | Eric Dennis Drake | Optometrist | 1724 Snow Canyon Dr, Santa Clara, UT 84765-5138 | 2012-07-27 |
| 1730706649 | Matthew Fehrenbacker | Student in an Organized Health Care Education/Training Program | 3398 Windmill Dr, Santa Clara, UT 84765-5193 | 2020-06-26 |
| Find all providers in zip 84765 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969337 | Colter Engber | Student in an Organized Health Care Education/Training Program | 3486 Golden State Dr, Santa Clara, CA 95051-4611 | 2020-10-13 |
| 1568074383 | Katelyn Ann Hakinson | Student in an Organized Health Care Education/Training Program | 2173 Calabazas Blvd, Santa Clara, CA 95051-1634 | 2020-08-21 |
| 1730706649 | Matthew Fehrenbacker | Student in an Organized Health Care Education/Training Program | 3398 Windmill Dr, Santa Clara, UT 84765-5193 | 2020-06-26 |
| 1073134896 | Connor James Finklea | Student in an Organized Health Care Education/Training Program | 2503 Stefanie Ln, Santa Clara, UT 84765-1217 | 2020-05-04 |
| 1326696006 | Carly Kibler | Student in an Organized Health Care Education/Training Program | 2446 Johnson Pl, Santa Clara, CA 95050-5521 | 2019-08-27 |
| 1457817272 | Vinay Nittur | Student in an Organized Health Care Education/Training Program | 3538 Shafer Dr, Santa Clara, CA 95051-4619 | 2019-02-17 |
| 1770931230 | Sarah Kwok | Student in an Organized Health Care Education/Training Program | 2366 El Camino Real # 5, Santa Clara, CA 95050-4070 | 2016-05-25 |
| 1841647716 | Yiqin Xu | Student in an Organized Health Care Education/Training Program | 1756 Townsend Ave, Santa Clara, CA 95051-2722 | 2016-05-19 |
| 1588048821 | Raymond Pandez | Student in an Organized Health Care Education/Training Program | 2622 Monticello Way, Santa Clara, CA 95051-1021 | 2015-07-16 |
| 1063703072 | Alexis Leigh Crawley | Student in an Organized Health Care Education/Training Program | 1790 Nantucket Cir Apt 171, Santa Clara, CA 95054-3826 | 2011-04-25 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 84765 |
Please comment or provide details below to improve the information on MCKENZIE VI 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.