MS. ISHARON BENYETTE REYNOLDS


Address: 10553 Saint Clair Ave, Cleveland, OH 44108-1973
Phone: 2166827702

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 10553 SAINT CLAIR AVE
City CLEVELAND
State OH
Zip Code 44108-1973

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City CLEVELAND
Zip Code 44108

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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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