ELLEN PATRICIA REYNOLDS (NPI# 1174955090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174955090 |
| Entity Type | Individual |
| Full Name | ELLEN PATRICIA REYNOLDS |
| Credential | PCNP |
| Practice Address |
52 Harrison St Johnson City NY 13790-2120 |
| Mailing Address |
31 Estates Dr Owego NY 13827-1054 |
| Practice Telephone | 6077291521 |
| Mailing Telephone | 6076876404 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F320013-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780898874 | Ellen Mary Reynolds | Registered Nurse | 11002 W Laurelwood Ln, Avondale, AZ 85323-4036 | 2007-05-09 |
| 1174146484 | Ellen Marie Reynolds | Counselor | 7602 Big Bend Blvd, Saint Louis, MO 63119-2106 | 2020-05-20 |
| 1457759300 | Ellen Reynolds | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443-2410 | 2014-12-09 |
| 1043528441 | Ellen Aaker Reynolds | Nurse Practitioner | 4401 Penn Avenue, Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2010-09-20 |
| 1114126661 | Ellen Reynolds | Physical Therapist | 68 Sweeten Creek Rd, Asheville, NC 28803-2318 | 2007-07-15 |
| 1679622542 | Ellen M Reynolds | Surgery | 100 E Idaho St, Ste 300, Boise, ID 83712-6267 | 2007-01-09 |
| Street Address |
52 HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735561 | Michael Chisdak | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2005-07-28 |
| 1467004945 | Olesya Craven | Specialist/Technologist, Other | 52 Harrison St, Johnson City, NY 13790-2120 | 2019-07-15 |
| 1417323999 | Jared M Pado | Nurse Practitioner | 52 Harrison St, Fl 2, Johnson City, NY 13790-2120 | 2015-08-19 |
| 1063763357 | Erin Meyer | Pharmacist | 52 Harrison St, Johnson City, NY 13790-2120 | 2012-09-26 |
| 1821392663 | United Health Services Hospitals Inc | Pharmacy | 52 Harrison St, Johnson City, NY 13790-2120 | 2011-01-10 |
| 1336378835 | Cathleen J Baynar | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2009-07-07 |
| 1861659351 | Muhammad I Ali | Internal Medicine | 52 Harrison St, Suite 1, Johnson City, NY 13790-2120 | 2008-05-21 |
| 1083736896 | Erika K. Armstrong | Physician Assistant | 52 Harrison St, Johnson City, NY 13790 | 2007-04-04 |
| 1841303070 | Southern Tier Pulmonary & Critical Care Medicine LLC | Internal Medicine | 52 Harrison St, Johnson City, NY 13790-2120 | 2006-08-15 |
| 1831118199 | Matthew Thomas Bennett | Orthopaedic Surgery | 52 Harrison St, 2nd Fl, Johnson City, NY 13790-2120 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472509 | Total Health and Wellness | Nurse Practitioner | 801 E Watauga Ave Ste 2, Johnson City, TN 37601-4113 | 2017-04-25 |
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1407884869 | Dana Allen | Nurse Practitioner | 403 Princeton Rd Ste 1, Johnson City, TN 37601-2040 | 2006-06-28 |
| 1720641137 | Brooke Nicole Griffith | Nurse Practitioner | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2019-04-22 |
| 1821057738 | Lynda G Weatherly | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667169 | Noemi Villanueva Sta Ana | Nurse Practitioner | 1738 Newbridge Rd Unit 1, North Bellmore, NY 11710-1657 | 2020-10-24 |
| 1881292050 | Andrew Hirschhorn | Nurse Practitioner | 1435 Weaver St, Scarsdale, NY 10583-7018 | 2020-10-11 |
| 1154932036 | Brian Lorenzen | Nurse Practitioner | 25 Barker St Apt 513, Mount Kisco, NY 10549-1635 | 2020-08-13 |
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
| 1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on ELLEN PATRICIA REYNOLDS.
| 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.