DR. KELLY REINER (NPI# 1922650753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922650753 |
| Entity Type | Individual |
| Full Name | DR. KELLY REINER |
| Credential | PSYD |
| Practice Address |
10 S River Rd Fort Yates ND 58538 |
| Mailing Address |
Po Box J Fort Yates ND 58538-0527 |
| Practice Telephone | 7018548303 |
| Mailing Telephone | 7018543831 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004645 | VA | Behavioral Health & Social Service Providers |
| Street Address |
10 S RIVER RD |
| City | FORT YATES |
| State | ND |
| Zip Code | 58538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367665 | Sara Froelich | Licensed Practical Nurse | N 10 River Rd, Fort Yates, ND 58538 | 2016-10-19 |
| 1649694928 | Charles Swenson | Hearing Instrument Specialist | 9266 Highway 24, Fort Yates, ND 58538 | 2014-02-07 |
| 1093142416 | Jennifer Dawn Campbell | Registered Nurse | 10 N. River Road, Fort Yates, ND 58538 | 2013-09-30 |
| 1861827743 | Standing Rock Sioux Tribe | Family Medicine | 139 Proposal Ave, Standing Rock Sioux Tribe, Fort Yates, ND 58538 | 2013-09-10 |
| 1184990608 | Standing Rock Early Childhood Tracking Program | Physical Therapist | 001 Standing Rock Avenue, Ft. Yates, ND 58538 | 2012-03-29 |
| 1699046706 | Sarah Rippley | Emergency Medical Technician, Paramedic | 143 Proposal Avenue, Fort Yates, ND 58538 | 2012-01-20 |
| 1972731974 | Standing Rock Public Transportation | Secured Medical Transport (VAN) | 1341 92nd Street, Fort Yates, ND 58538 | 2009-06-29 |
| 1144430679 | Christine Grace Peterson | Dentist | Standing Rock Ihs Hospital, 00n10 North River Road, Fort Yates, ND 58538 | 2007-05-23 |
| 1528289881 | Mark Jackson | Preventive Medicine | 10 Standing Rock Agency Avenue, Fort Yates, ND 58538 | 2007-05-02 |
| 1194846949 | Standing Rock Indian Health Service | Pharmacist | 10 North River Rd, Fort Yates, ND 58538 | 2007-04-02 |
| Find all providers in zip 58538 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870875 | Vincen Gene Barnes | Psychologist | N10 North River Road, Phs Hospital, Fort Yates, ND 58538 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542182 | Nicola Ashton Herting | Psychologist | 100 4th St S Ste 302, Fargo, ND 58103-1937 | 2020-03-09 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1023598083 | Devils Lake Psychological Services, Pllc | Psychologist | 224 4th St Nw Ste 7, Devils Lake, ND 58301-2960 | 2018-08-20 |
| 1740789684 | Jocelyn Soderstrom | Psychologist | 211 4th St Ne Ste 4, Devils Lake, ND 58301-2479 | 2018-02-06 |
| 1023550951 | Fiana England | Psychologist | 1401 13th Ave E., West Fargo, ND 58078-8029 | 2016-11-09 |
| 1932542180 | Lisa Gustafson | Psychologist | 200 E Main Ave, Suite 202, Bismarck, ND 58501-3857 | 2013-04-08 |
| 1669743977 | Scott Ressler | Psychologist | 3678 Taylor St S, Fargo, ND 58104-7588 | 2012-01-18 |
| 1992093660 | Nichole Parkhouse | Psychologist | 2100 S Columbia Rd Ste 202, Grand Forks, ND 58201-5895 | 2011-07-15 |
| 1679873525 | Jessica Ann Hurdelbrink Jones | Psychologist | 1126 Westrac Dr S, Fargo, ND 58103-2473 | 2010-10-26 |
| 1407009400 | Jennifer M Garaas | Psychologist | 102 West Beaton Drive, Suite 103, West Fargo, ND 58078-3468 | 2008-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT YATES |
| Zip Code | 58538 |
Please comment or provide details below to improve the information on DR. KELLY REINER.
| 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.