MS. ISHARON BENYETTE REYNOLDS (NPI# 1962914366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962914366 |
Entity Type | Individual |
Full Name | MS. ISHARON BENYETTE REYNOLDS |
Credential | NP-C |
Practice Address |
10553 Saint Clair Ave Cleveland OH 44108-1973 |
Practice Telephone | 2166827702 |
Practice Fax Number | 2169206273 |
Mailing Telephone | 2166827702 |
Mailing Fax Number | 2169206273 |
Enumeration Date | 2017-10-26 |
Last Update Date | 2018-11-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.023310 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10553 SAINT CLAIR AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44108-1973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
1699127381 | Stephanie Diane Kincaid | Social Worker | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-07-06 |
1205282084 | Mandisa Molton | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-05-10 |
1811243397 | Jeremy Perse | Podiatrist | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-08-02 |
1114284411 | Olaoluwa Oladipo Fayanju | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
Find all providers in zip 44108 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
Find all providers in CLEVELAND |
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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.