MS. KELLIE DENICE REYNA (NPI# 1154579357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154579357 |
| Entity Type | Individual |
| Full Name | MS. KELLIE DENICE REYNA |
| Credential | PA-C |
| Practice Address |
7200 Wyoming Springs Dr Ste 1300 Round Rock TX 78681-4306 |
| Mailing Address |
Po Box 10597 Austin TX 78766-1597 |
| Practice Telephone | 5122442273 |
| Practice Fax Number | 5122443179 |
| Mailing Telephone | 5124855889 |
| Mailing Fax Number | 5124200397 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05904 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 827 Linden Ave, Baltimore, MD 212014606 | 4103288730 | 4103288315 |
| 22 S Greene St, Baltimore, MD 21201 | 4103285780 | 4103288315 |
| Street Address |
7200 WYOMING SPRINGS DR STE 1300 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158427 | Sushil Duddempudi | Internal Medicine | 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681-4306 | 2007-08-06 |
| 1447679246 | Vijay S Dalapathi | Internal Medicine | 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681-4306 | 2014-04-09 |
| 1588905277 | Dorothy Cheng | Registered Nurse | 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681-4306 | 2013-03-06 |
| 1528324787 | Parastoo Jangouk | Internal Medicine | 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681-4306 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663228 | Stat Surgical Assists, Pllc | Physician Assistant | 2541 S Interstate 35 Ste 200 # 420, Round Rock, TX 78664-7357 | 2019-01-18 |
| 1407218530 | Christopher D Biehl | Physician Assistant | 7201 Wyoming Springs Dr # 400, Round Rock, TX 78681-4311 | 2016-03-28 |
| 1992104285 | Stefan Mcfarland | Physician Assistant | 1780 Round Rock Ave Ste 200, Round Rock, TX 78681 | 2014-08-22 |
| 1801239793 | Rachel Kinsey Lawson | Physician Assistant | 7201 Wyoming Springs Dr Ste 100, Round Rock, TX 78681-4311 | 2013-04-10 |
| 1215275094 | Nidhi Parsotam Dover | Physician Assistant | 300a University Blvd, Round Rock, TX 78665 | 2013-01-29 |
| 1871862946 | Ashley Nichole Mott | Physician Assistant | 16040 Park Valley Dr Ste 111, Round Rock, TX 78681 | 2011-12-20 |
| 1235288002 | Luis Wilmot Jr. | Physician Assistant | 600 Round Rock West Dr Ste 703, Round Rock, TX 78681-5005 | 2007-01-09 |
| 1851457212 | Melanie Louise Mckinley | Physician Assistant | 2000 N Mays St, Suite 109, Round Rock, TX 78664-2166 | 2006-12-29 |
| 1780779140 | Jerry Allen Johnson | Physician Assistant | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | 2006-10-03 |
| 1780787986 | Mandi Glynn Amburn | Physician Assistant | 2000 S Ih 35 Ste N5, Round Rock, TX 78681-6921 | 2006-09-06 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
Please comment or provide details below to improve the information on MS. KELLIE DENICE REYNA.
| 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.