DR. CHARITY A REYNOLDS


Address: 927 Trettel Ln, Cloquet, MN 55720
Phone: 2188791227

DR. CHARITY A REYNOLDS (NPI# 1912344722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912344722
Entity Type Individual
Full Name DR. CHARITY A REYNOLDS
Credential M.D.
Practice Address 927 Trettel Ln
Cloquet
MN 55720
Mailing Address 1105 101st Ave W
Duluth
MN 55808-1804
Practice Telephone 2188791227
Mailing Telephone 7193835900
Enumeration Date 2013-06-03
Last Update Date 2018-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 64552 MN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 0057264 CO Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine R73927 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1012 Belmont Ave, La Junta, CO 810502101 7193835900

Office Location

Street Address 927 TRETTEL LN
City CLOQUET
State MN
Zip Code 55720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427044239 Janette Mary Setterquist Registered Nurse 927 Trettel Ln, Cloquet, MN 55720-1345 2005-09-27
1568070498 York Marlowe Counselor 927 Trettel Ln, Cloquet, MN 55720-1345 2020-07-16
1972149623 Abigail Nancy Anderson Physician Assistant 927 Trettel Ln, Cloquet, MN 55720-1345 2019-11-18
1245897438 Sophia Stangl Dentist 927 Trettel Ln, Cloquet, MN 55720-1345 2019-05-22
1386201572 Shelia Marie Miller Social Worker 927 Trettel Ln, Cloquet, MN 55720-1345 2019-05-22
1598246142 Leann Mae Butler Nurse Practitioner 927 Trettel Ln, Cloquet, MN 55720-1345 2018-08-22
1093200826 Robert Alexander Johnson Dentist 927 Trettel Ln, Cloquet, MN 55720 2018-06-25
1780173534 Ariane Marene Norrgard Social Worker 927 Trettel Ln, Cloquet, MN 55720-1345 2018-05-08
1811405368 Barbara Ann Heikkila Dietitian, Registered 927 Trettel Ln, Cloquet, MN 55720-1345 2018-01-18
1659886026 Katherine Gokee Health Educator 927 Trettel Ln, Cloquet, MN 55720-1345 2017-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447786652 Awakening Growth, LLC Social Worker 116 Ave C, Cloquet, MN 55720 2017-05-08
1396129706 Kara Danielle Ebert Marriage & Family Therapist 913 Stanley Ave, Cloquet, MN 55720 2015-07-15
1639577729 Fcsl Cloquet, LLC Assisted Living Facility 130 W North Road, Cloquet, MN 55720 2014-12-05
1699173765 Fcsl Cloquet, LLC Assisted Living Facility 132 W North Road, Cloquet, MN 55720 2014-12-05
1134426778 Fond Du Lac Reservation Business Committee Assisted Living Facility 1571 Airport Road, Fond Du Lac Assisted Living, Cloquet, MN 55720 2011-02-17
1417124553 Kara Lynn Fausch Family Medicine 512 Skyline Boulevard, Cloquet, MN 55720 2008-05-08
1013199769 Carlton Co Public Health & Human Services Public Health or Welfare 30 N 10th Street, Cloquet, MN 55720 2007-12-04
1881808616 Stephen David Parkhurst Chiropractor 903 Cloquet Avenue, Cloquet, MN 55720 2007-05-10
1093929861 Northland Afc,inc Day Training, Developmentally Disabled Services 1576 White Pine Trail, Cloquet, MN 55720 2007-05-10
1235341231 Northland Afc,inc Day Training, Developmentally Disabled Services 6580 W Arrowhead Rd., Cloquet, MN 55720 2007-05-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417124553 Kara Lynn Fausch Family Medicine 512 Skyline Boulevard, Cloquet, MN 55720 2008-05-08
1912961228 Mollie A Stapleton Family Medicine 927 Trettel Lane, Fond Du Lac Human Services Division, Cloquet, MN 55720 2006-04-13
1831176759 Jessica Woodward Lavan Family Medicine 417 Skyline Blvd, Cloquet, MN 55720-1164 2005-12-30
1073021036 Webmed LLC Family Medicine 512 Skyline Blvd, Cloquet, MN 55720-3787 2018-01-11
1700313558 Sarah Michelle Carlson Family Medicine 927 Trettel Ln, Cloquet, MN 55720-1345 2017-05-11
1720441686 Natalie Krier Arreola Family Medicine 512 Skyline Blvd, Cloquet, MN 55720-3787 2016-03-29
1356751531 Kiara Levar Family Medicine 927 Trettel Ln, Cloquet, MN 55720-1345 2014-04-28
1659710374 Shane Byrn Richardson Family Medicine 927 Trettel Ln, Cloquet, MN 55720-1345 2013-06-15
1518254366 Adrianne Denise Westmoreland Family Medicine 512 Skyline Blvd, Cloquet, MN 55720 2011-06-30
1508182247 Erin Louks Smith Family Medicine 417 Skyline Blvd, Cloquet, MN 55720-1164 2010-04-19
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Competitor

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City CLOQUET
Zip Code 55720

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Dataset Information

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.

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