CATHERINE REYNOLDS (NPI# 1073172755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073172755 |
| Entity Type | Individual |
| Full Name | CATHERINE REYNOLDS |
| Practice Address |
4304 Highland Park Blvd Lakeland FL 33813-1647 |
| Mailing Address |
1619 Oak Hill Trl Kissimmee FL 34747-2409 |
| Practice Telephone | 8636449398 |
| Mailing Telephone | 4078737566 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11002436 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
11002436 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073927547 | Catherine Reynolds | Dental Hygienist | 1260 S Hover St Ste H, Longmont, CO 80501-7925 | 2014-06-12 |
| 1104868884 | Catherine J Reynolds | Family Medicine | 2347 E Gala, Suite 150, Meridian, ID 83642 | 2006-06-10 |
| 1639523632 | Catherine Reynolds | Emergency Medicine | 6431 Fannin St, Suite Jjl 431, Houston, TX 77030-1501 | 2016-04-16 |
| 1629435540 | Catherine Reynolds | Psychologist | 1479 Brockett Rd, Suite 100, Tucker, GA 30084-7326 | 2016-01-22 |
| 1285017384 | Catherine Reynolds | Speech-Language Pathologist | 4238 James Madison Highway, Genesis Rehab Services, Fork Union, VA 23055 | 2015-07-07 |
| 1942599147 | Catherine Mollie Reynolds | Nurse Practitioner | 510 Highway 76, White House, TN 37188-9203 | 2011-03-29 |
| 1730319096 | Catherine A Reynolds | Counselor | 14801 E 18th Pl, Aurora, CO 80011-4480 | 2009-07-21 |
| 1295912574 | Catherine H. Reynolds | Psychologist | 911 Bypass Rd, 8th Floor Clinic, Pikeville, KY 41501-1689 | 2008-01-29 |
| 1861529414 | Catherine Rachel Reynolds | Registered Nurse | 108 David Collins Dr, Smyrna, TN 37167-2813 | 2007-02-28 |
| Street Address |
4304 HIGHLAND PARK BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184604936 | Maria Antonieta Cavero-rankin | Specialist | 4304 Highland Park Blvd, Lakeland, FL 33813-1647 | 2006-01-18 |
| 1487251922 | Genevieve Peacemaker | Nurse Practitioner | 4304 Highland Park Blvd, Lakeland, FL 33813-1647 | 2020-10-07 |
| 1699260208 | Teresa Absher Harper | Nurse Practitioner | 4304 Highland Park Blvd, Lakeland, FL 33813 | 2018-06-26 |
| 1144664442 | Happy Kidz Pediatrics, Pl | Clinic/Center | 4304 Highland Park Blvd, Lakeland, FL 33813-1647 | 2013-04-18 |
| 1073529889 | Parmjit Kaur Gill | Pediatrics | 4304 Highland Park Blvd, Lakeland, FL 33813-1647 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| 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 |
|---|---|---|---|---|
| 1629686845 | Robert Salzman | Nurse Practitioner | 1328 Jaffa St, Lakeland, FL 33801-5706 | 2020-07-14 |
| 1578180493 | Kristen Kay Crumpton | Nurse Practitioner | 615 Midflorida Dr Ste 1, Lakeland, FL 33813-4921 | 2020-06-26 |
| 1053958694 | Cathy Lorraine Molina | Nurse Practitioner | 6063 Sunset Vista Dr, Lakeland, FL 33812-4441 | 2019-12-02 |
| 1003452418 | Cheza Marie Wilkinson | Nurse Practitioner | 2849 Jennifer Dr, Lakeland, FL 33810-5107 | 2019-11-20 |
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1154988210 | Doreen Opal Lue | Nurse Practitioner | 6855 Ashbury Dr, Lakeland, FL 33809-7818 | 2019-05-23 |
| 1962068155 | Lindsey Silas Escobar | Nurse Practitioner | 1490 Town Center Dr, Lakeland, FL 33803-7965 | 2019-05-14 |
| 1134695547 | Misti Dawn Thomas | Nurse Practitioner | 1737 Sherwood Lakes Blvd, Lakeland, FL 33809-6809 | 2018-10-23 |
| 1891260725 | Benito Angelo Rodriguez | Nurse Practitioner | 2417 Us Highway 98 N # 512, Lakeland, FL 33805-2410 | 2018-10-08 |
| 1255833513 | Justin Ross Hooper | Nurse Practitioner | 1285 Vista Hills Dr, Lakeland, FL 33813-5642 | 2018-03-02 |
| Find all providers in LAKELAND | ||||
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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.