PAMELA REYNOLDS (NPI# 1932178019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932178019 |
| Entity Type | Individual |
| Full Name | PAMELA REYNOLDS |
| Credential | FNPC |
| Practice Address |
2212 Wilborn Ave South Boston VA 24592-1630 |
| Practice Telephone | 4345728921 |
| Practice Fax Number | 4345722063 |
| Mailing Telephone | 4345728921 |
| Mailing Fax Number | 4345722063 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 024164721 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007791992 | 05 | |
| VA | OPTIMA | 35419N | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962645044 | Pamela Jill Reynolds | Marriage & Family Therapist | 2828 Broadway, Santa Monica, CA 90404-3103 | 2009-04-20 |
| 1508065293 | Pamela P. Reynolds | Internal Medicine | 1222 Jefferson Park Avenue, Charlottesville, VA 22908-0001 | 2007-07-13 |
| 1508085390 | Pamela K Reynolds | Pharmacist | 112 Blackberry Ln, Mc Leansboro, IL 62859-1595 | 2007-04-24 |
| 1578660387 | Pamela Hlis Reynolds | Dentist | 3655 Rosell Rd, Suite 200, Atlanta, GA 30342 | 2006-09-20 |
| 1720028640 | Pamela K Reynolds | Counselor | 1005 Jackson Street, Lacrosse, WI 54601 | 2006-06-08 |
| 1881246981 | Pamela Reynolds | Social Worker | 122 Desoto Ave Ste 109, Clarksdale, MS 38614-4440 | 2019-07-10 |
| 1851879563 | Pamela Reed Reynolds | Dental Hygienist | 9159 Franktown Rd, Franktown, VA 23310 | 2018-08-03 |
| 1295019552 | Pamela Ann Reynolds | Nurse Practitioner | 1810 Haddonfield Berlin Rd, Cherry Hill, NJ 08003-3736 | 2011-10-05 |
| 1164728721 | Pamela Norma Reynolds | Nurse Anesthetist, Certified Registered | 3139 Revere Dr, Saginaw, MI 48603-1642 | 2011-01-31 |
| 1215115365 | Pamela Joy Reynolds | Acupuncturist | 3021 Telegraph Ave, Suite A, Berkeley, CA 94705 | 2008-01-31 |
| Street Address |
2212 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472524 | Nonna Lyn M Ebalo | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-01-19 |
| 1366814113 | Fuller Roberts Ob-gyn and Primary Care | Obstetrics & Gynecology | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2015-10-20 |
| 1316320187 | Cynthia Blanks Cole | Nurse Practitioner | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2015-06-29 |
| 1255771770 | Dominion Health Medical Assoc. | Clinic/Center | 2212 Wilborn Ave, South Boston, VA 24592 | 2013-06-28 |
| 1346553468 | Michelle Wilkens Helms | Specialist | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2010-07-18 |
| 1659317576 | Duc K Trieu | Obstetrics & Gynecology | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-06-20 |
| 1407891815 | Fuller-roberts Clinic, Inc | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-06-19 |
| 1225006489 | William Allen Fuller Jr. | Surgery | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-14 |
| 1124097282 | Joan Wilson | Obstetrics & Gynecology | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-14 |
| 1427026806 | Prasit Thanaporn | Obstetrics & Gynecology | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532003 | Sheryl D Newcomb | Nurse Practitioner | 2232 Wilborn Ave Ste A, South Boston, VA 24592-1662 | 2018-06-18 |
| 1336507250 | Cindy Long Sullins | Nurse Practitioner | 2045 Hamilton Blvd, South Boston, VA 24592-2141 | 2016-02-05 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1124077136 | Michelle Bender Gibson | Nurse Practitioner | 2232 Wilborn Ave, Suite D, Hematology Oncology Practice of Southside Va, PC, South Boston, VA 24592-1662 | 2006-05-08 |
| 1871958991 | Cynthia Powell Felton | Nurse Practitioner | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2015-12-16 |
| 1831378900 | Melissa P Arthur | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.