REYNA CONKLIN (NPI# 1215548045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215548045 |
| Entity Type | Individual |
| Full Name | REYNA CONKLIN |
| Practice Address |
3839 W Charlotte Dr Glendale AZ 85310-3331 |
| Practice Telephone | 9284514807 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3839 W CHARLOTTE DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85310-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597479 | Diana Olp | Technician | 5003 W. Creedance Blvd., Glendale, AZ 85310 | 2019-09-19 |
| 1972091940 | Daniel Hamilton | Physician Assistant | 4946 W Electra Ln, Glendale, AZ 85310 | 2018-04-25 |
| 1265958615 | Rose Ilene Wesol | Registered Nurse | Copper Creek Elementary School, 7071 W Hillcrest Blvd, Glendale, AZ 85310 | 2017-08-17 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1811129026 | Hope Healthcare, LLC | Home Health | 6022 W Robin Ln, Glendale, AZ 85310 | 2009-08-20 |
| 1467699777 | Desert Winds Behavioral Health LLC | Case Management | 6127 W. Westwind Dr., Glendale, AZ 85310 | 2009-01-08 |
| 1083835235 | Amy Marie Mccluer | Occupational Therapy Assistant | 7071 W. Hillcrest Blvd., Glendale, AZ 85310 | 2007-05-02 |
| 1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
| 1124185228 | Daas Healthcare, LLC | Internal Medicine | 19841 N.27th Ave, Suite 300, Phoenix, AZ 85310 | 2007-01-02 |
| 1467545160 | Rgl Development, LLC | Assisted Living Facility | 6735 West Hillcrest Blvd, Glendale, AZ 85310 | 2006-10-02 |
| Find all providers in zip 85310 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1609489897 | Stevenson Henry | Student in an Organized Health Care Education/Training Program | 6565 W Bethany Home Rd Apt 261, Glendale, AZ 85301-4959 | 2020-08-26 |
| 1396357075 | Kaila Gladden | Student in an Organized Health Care Education/Training Program | 5222 W Pershing Ave, Glendale, AZ 85304-1352 | 2020-08-23 |
| 1033721550 | Jae Hyeok Yang | Student in an Organized Health Care Education/Training Program | 6958 W Robin Ln, Glendale, AZ 85310-5912 | 2020-08-17 |
| 1326650847 | Mary Ohanyan | Student in an Organized Health Care Education/Training Program | 209 E Palmer Ave Apt 203, Glendale, CA 91205-3173 | 2020-08-17 |
| 1356952030 | Makenna C Kroulik | Student in an Organized Health Care Education/Training Program | 5218 W Tierra Buena Ln, Glendale, AZ 85306-2515 | 2020-08-14 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1730703711 | Bryce Kruman | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm P109, Glendale, AZ 85308-7209 | 2020-06-04 |
| 1881218584 | Chandler J Hurt | Student in an Organized Health Care Education/Training Program | 301 W Coventry Ct Apt 305, Glendale, WI 53217-3959 | 2020-05-29 |
| 1639791460 | Carl Kevin Supnet | Student in an Organized Health Care Education/Training Program | 120 S Everett St Apt 4, Glendale, CA 91205-1102 | 2020-05-14 |
| Find all providers in GLENDALE | ||||
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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.