MADISON REYNOLDS


Address: 1900 Stillwater Dr, Jonesboro, AR 72404-9119
Phone: 8709323600

MADISON REYNOLDS (NPI# 1225640691) 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) 1225640691
Entity Type Individual
Full Name MADISON REYNOLDS
Practice Address 1900 Stillwater Dr
Jonesboro
AR 72404-9119
Practice Telephone 8709323600
Mailing Telephone 8709323600
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Other Providers MADISON REYNOLDS

NPI Name Taxonomy Address Enumeration
1962922948 Madison Reynolds Dentist 2001 E Santa Fe St, Olathe, KS 66062-1608 2017-06-21

Office Location

Street Address 1900 STILLWATER DR
City JONESBORO
State AR
Zip Code 72404-9119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629008321 Shelly Keller Speech-Language Pathologist 1900 Stillwater Dr, Jonesboro, AR 72404 2006-07-05
1821696725 Sarah Deweese Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1417555319 Olivia Lawshe Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1952909863 Martha Aldridge Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1811595713 Kiara Minor Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1386241263 Kawaiala Mullen Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-05
1689280984 Amanda Pemberton Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1104432400 Morgan Kilgore Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1407461288 Howell Davis Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
1629683479 John Huffman Driver 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740745967 Imove, LLC Physical Therapist 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 2019-02-01
1245728914 Karina Coats Nurse Anesthetist, Certified Registered 2409 Skyline Pt, Jonesboro, AR 72404 2018-04-27
1619325263 Kathryn Meyers Specialist/Technologist 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 2016-05-24
1922476571 Tmj and Facial Pain Center,llc Dentist 2600 Browns Lane, Ste B, Jonesboro, AR 72404 2015-09-11
1265828156 Hd Dental, Pa Dba Smile Dental Dentist 6009 Highway 1 South, Jonesboro, AR 72404 2015-04-08
1124445358 Tanner Wilson Jarrett Occupational Therapy Assistant 3114 Fox Road Suite A, Jonesboro, AR 72404 2014-03-26
1154759793 Kasey Boyd Specialist/Technologist 1717 Hwy 163, Jonesboro, AR 72404 2013-10-17
1578848610 Maria Ivonne Norman Physical Therapist 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 2011-10-20
1003198839 Rachel Hollimon Golden Speech-Language Pathologist 4410 Harrisburg Rd., Jonesboro, AR 72404 2011-09-19
1225358021 Darrell R Gann Physical Therapy Assistant 6040 Beaver Creek, Jonesboro, AR 72404 2010-06-03
Find all providers in zip 72404

Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700515 Ashley Tomlinson Day Training/Habilitation Specialist 806 Glendale St, Jonesboro, AR 72401-4455 2020-11-02
1821696725 Sarah Deweese Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1417555319 Olivia Lawshe Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-13
1386241263 Kawaiala Mullen Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-10-05
1689280984 Amanda Pemberton Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1104432400 Morgan Kilgore Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-22
1982219747 Maranda Mcmanus Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-09
1477167310 Jakob Felts Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-09-08
1649883448 Laura Davidson Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-08-31
1306458781 Rebekah Smith Day Training/Habilitation Specialist 1900 Stillwater Dr, Jonesboro, AR 72404-9119 2020-08-18
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72404

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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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