MRS. STEPHANIE ANTONIA REYNOLDS


Address: 1250 Waters Pl, Tower 1, Suite 602, Bronx, NY 10461-2720
Phone: 7182391912

MRS. STEPHANIE ANTONIA REYNOLDS (NPI# 1194902692) 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) 1194902692
Entity Type Individual
Full Name MRS. STEPHANIE ANTONIA REYNOLDS
Credential ANP-C, GNP-BC, ACHPN
Practice Address 1250 Waters Pl
Tower 1, Suite 602
Bronx
NY 10461-2720
Mailing Address 422 Minnieford Ave
Bronx
NY 10464-1316
Practice Telephone 7182391912
Mailing Telephone 9084777841
Enumeration Date 2008-01-28
Last Update Date 2012-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 440030 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE REYNOLDS

NPI Name Taxonomy Address Enumeration
1083108591 Stephanie Reynolds Specialist/Technologist 1444 E Saint Catherine Ave, Phoenix, AZ 85042-4464 2018-06-18
1386095719 Stephanie L Reynolds Family Medicine 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 2016-06-27
1336389972 Stephanie R. Reynolds Speech-Language Pathologist 1410 John St, Wenatchee, WA 98801-6212 2009-02-23
1023597192 Stephanie Marie Reynolds Dental Hygienist 2 E 22nd St Ste 201, Lombard, IL 60148-6105 2018-08-09
1740768605 Stephanie Kaye Reynolds Optometrist 2561 Jacksboro Pike, Jacksboro, TN 37757-4847 2018-08-02
1154779288 Stephanie Michelle Reynolds Counselor 525 Nw Lake Whitney Pl, Port Saint Lucie, FL 34986-1605 2016-05-31
1992107338 Stephanie Reynolds Nurse Practitioner 578 N Leavitt Rd, Amherst, OH 44001-1131 2014-09-17
1407148059 Stephanie Nicole Reynolds Occupational Therapist 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028-6031 2011-05-13
1750568432 Stephanie Reynolds Social Worker 1411 Lincolnway W, Mishawaka, IN 46544-1626 2008-01-25
1164611539 Stephanie Jaree Reynolds Counselor 720 N Dewey Ave, Oklahoma City, OK 73102-1214 2007-10-22

Office Location

Street Address 1250 WATERS PL
TOWER 1, SUITE 602
City BRONX
State NY
Zip Code 10461-2720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053316836 David M.s. Shein Orthopaedic Surgery 1250 Waters Pl, Suite 903, Bronx, NY 10461-2720 2005-06-17
1699307983 Larissa Arango Physical Therapist 1250 Waters Pl, Tower One / 10th Floor, Bronx, NY 10461 2020-02-05
1831730886 Meaghan O'neill Physician Assistant 1250 Waters Pl, Bronx, NY 10461-2720 2019-10-01
1790334746 Victoria Theresa Mccaffrey Physician Assistant 1250 Waters Pl, Bronx, NY 10461-2720 2019-09-11
1255980603 Monica Poleway Physician Assistant 1250 Waters Pl, Bronx, NY 10461-2720 2019-09-09
1699323113 Rujuta Rajendra Tandel Physical Therapist 1250 Waters Pl, Bronx, NY 10461-2720 2019-08-28
1457904864 Deborah Thompkins Licensed Practical Nurse 1250 Waters Pl, Bronx, NY 10461-2720 2019-07-24
1427617521 Shannon Pierce Donnelly Physician Assistant 1250 Waters Pl, Bronx, NY 10461-2720 2019-06-12
1194382648 Diana Josephine Estrada Mislang Nurse Practitioner 1250 Waters Pl, Bronx, NY 10461-2720 2019-05-21
1700449873 Kyle Melfe Orthopaedic Surgery 1250 Waters Pl, Bronx, NY 10461-2720 2019-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427665975 Zhanna Kleynerman Pharmacist R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 2020-09-29
1245867738 Dalia Duzdar Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 2020-03-24
1306486667 Alvin Antony Mathew Physical Therapist 1500 Blondell Ave., Bronx, NY 10461 2020-01-14
1295374007 Felicia Bowman Peer Specialist 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 2019-12-26
1477191161 Todd Benevento Jr. Physical Therapist 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 2019-12-13
1073173845 Harriet Sarpong-blankson Pharmacist Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 2019-06-14
1396300166 Victoria Sliva Psychologist 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 2019-05-07
1538723366 Shuai Wang Student in an Organized Health Care Education/Training Program 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 2019-04-26
1457810079 Morpheus Sleep Solutions Inc Durable Medical Equipment & Medical Supplies 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 2019-03-13
1922565118 Metro Care Management LLC Case Management 2481 Rowe St, Bronx, NY 10461 2019-02-25
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336753680 Alexandra Lynn Picard Nurse Practitioner Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 2020-09-03
1477188167 Ruth Yeboah Nurse Practitioner 1191 Clay Ave Apt Bb, Bronx, NY 10456-4230 2020-03-03
1326696402 Caring Link Family Np Health Pllc Nurse Practitioner 650 E 226th St, Bronx, NY 10466-3932 2019-08-31
1306328737 Lauretta Marie Tomaso Nurse Practitioner 500 East Fordham Road, Bronx, NY 10458 2018-09-01
1013498286 Access Care Np Psychiatry & Family Health, Pllc. Nurse Practitioner Access Care, Np In Family Health of New York, Pllc., 1985 Prospect Ave., Bronx, NY 10457-5160 2018-08-27
1710463641 Kenisha Smith Nurse Practitioner 1550 Townsend Ave Apt 6j, Bronx, NY 10452-6020 2018-07-13
1447618798 Neilpattie Singh Nurse Practitioner 257 Surf Dr, Bronx, NY 10473-2539 2016-02-02
1780009100 Vida Brobbey Nurse Practitioner 2390 Tiebout Ave Apt 5b, Bronx, NY 10458-7327 2014-02-21
1558601815 Loretta Gillman Fanelli Nurse Practitioner 668 Allerton Avenue, Bronx, NY 10467 2013-02-25
1740527746 Fang Xiang Nurse Practitioner 2800 Bruckner Blvd Ste 306, Bronx, NY 10465-1972 2013-01-10
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Competitor

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City BRONX
Zip Code 10461

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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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