AMANDA REYNOLDS (NPI# 1952785222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952785222 |
| Entity Type | Individual |
| Full Name | AMANDA REYNOLDS |
| Credential | APN |
| Practice Address |
1006 S Division St Carterville IL 62918-1539 |
| Mailing Address |
109 California Street Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6185199200 |
| Mailing Telephone | 6189858221 |
| Mailing Fax Number | 6189854635 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209012925 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 209012925 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7 S Hospital Dr, Murphysboro, IL 629663333 | 6186873418 | 6186871859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243655 | Amanda Reynolds | Pharmacist | 6929 Jfk Blvd Ste 5, North Little Rock, AR 72116-5397 | 2019-12-30 |
| 1861830549 | Amanda M Reynolds | Marriage & Family Therapist | 9006 Leeland Archer Blvd, Orlando, FL 32836-8838 | 2013-06-04 |
| 1922304658 | Amanda Michelle Reynolds | Community Health Worker | 2138 Se Maryland Ave, Topeka, KS 66605-1338 | 2011-01-27 |
| 1841222791 | Amanda L Reynolds | Pharmacist | 173 Market St, Potsdam, NY 13676-1221 | 2006-07-07 |
| 1710591755 | Amanda Reynolds | Social Worker | 4 Forest Ave, Paramus, NJ 07652-5237 | 2020-09-08 |
| 1780293225 | Amanda Lee Reynolds | Technician | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-30 |
| 1821626334 | Amanda Melece Reynolds | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-03-30 |
| 1194266023 | Amanda Dewitt Reynolds | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2017-03-10 |
| 1710427992 | Amanda Reynolds | Military Hospital | 520 9th St, Slidell, LA 70458-1416 | 2017-03-07 |
| 1447637426 | Amanda Reynolds | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-04-29 |
| Street Address |
1006 S DIVISION ST |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548689 | Matin Nekzad | Family Medicine | 1006 S Division St, Carterville, IL 62918-1539 | 2006-02-22 |
| 1235780982 | Shawnee Health Service and Development Corp | Clinic/Center | 1006 S Division St, Carterville, IL 62918-1539 | 2019-09-24 |
| 1487111852 | Alexandria Markel | Counselor | 1006 S Division St, Carterville, IL 62918-1539 | 2019-02-21 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| 1609381425 | Jacquelyn Batterman | Social Worker | 1006 S Division St, Carterville, IL 62918-1539 | 2017-12-04 |
| 1225584188 | Dominique M Williams | Counselor | 1006 S Division St, Carterville, IL 62918 | 2016-08-31 |
| 1275905374 | Laura Castillo | Nurse Practitioner | 1006 S Division St, Carterville, IL 62918-1539 | 2015-10-28 |
| 1326429242 | Kaif Mohammed Yusuf Mansuri | Family Medicine | 1006 S Division St, Carterville, IL 62918 | 2015-06-16 |
| 1801280573 | Yvonne Marchal | Social Worker | 1006 S Division St, Carterville, IL 62918 | 2015-03-20 |
| 1437571908 | Lab One LLC | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918-1539 | 2014-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1013362227 | Kristin Francis | Social Worker | 1400 Pin Oak Dr, Carterville, IL 62918 | 2016-04-26 |
| Find all providers in zip 62918 | ||||
| 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 |
|---|---|---|---|---|
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1790346419 | Cassandra Vestal | Nurse Practitioner | 108 N Division St, Carterville, IL 62918-1245 | 2019-06-24 |
| 1669587804 | Cathy D Bless | Nurse Practitioner | 1006 S Division St, Carterville, IL 62918-1539 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
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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.