MS. AMY CORINNE REESIDE


Address: 609 Daffin Lane, Denton, MD 21629-1392
Phone: 4104792650

MS. AMY CORINNE REESIDE (NPI# 1356318083) 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) 1356318083
Entity Type Individual
Full Name MS. AMY CORINNE REESIDE
Credential FNP
Practice Address 609 Daffin Lane
Denton
MD 21629-1392
Mailing Address Po Box 660
301 Randolph Street
Denton
MD 21629-0660
Practice Telephone 4104792650
Practice Fax Number 4104791626
Mailing Telephone 4104794306
Mailing Fax Number 4104791714
Enumeration Date 2006-03-01
Last Update Date 2009-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R133336 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 784381000 05
MD COVENTRY 521116591 01
MD PRIORITY PARTNERS 012953 01
MD NCPPO 737190 01
MD CF BC/BS GRP/GHMSI/BL CHO T5880026 01
MD MARYLAND PHYSICIANS CARE 521116591 01
MD CIGNA 6191265 01
MD TRICARE 521116591 01
MD CAREFIRST BC/BS RENDERING 60958803 01
MD INFORMED 521116591 01

Office Location

Street Address 609 DAFFIN LANE
City DENTON
State MD
Zip Code 21629-1392

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871926808 Mollie K Ewing Registered Nurse 609 Daffin Lane, Denton, MD 21629-1392 2013-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423060 Marilyn Serino Social Worker 207 South 7th Street, Denton, MD 21629 2019-02-20
1699246421 Jody Lynn Wagner Speech-Language Pathologist 204 Market Street, Denton, MD 21629 2018-12-05
1487136404 Thomas J. Yoder Physical Therapist 103 South 7th Street, Denton, MD 21629 2018-09-06
1821512773 Walgreen Co Durable Medical Equipment & Medical Supplies 21 Denton Plz, Denton, MD 21629 2017-08-02
1548708803 Board of Child Care of The Umc Inc Community/Behavioral Health 27993 Substation Rd, Denton, MD 21629 2017-02-07
1598219156 Deanna Mcmullen Physical Therapist 1140 Blades Farm Rd Ste 201, Denton, MD 21629 2016-08-11
1538574314 Medha Satyarengga Internal Medicine 1140 Blades Farm Rd Ste 101, Denton, MD 21629 2014-06-30
1104147586 Kimberly Schall Physical Therapist 103 S. 7th Steet, Denton, MD 21629 2010-06-19
1891926978 Choptank Community Health System, Inc. Clinic/Center 401 Lockerman St, Denton, MD 21629 2009-08-06
1285896951 Carolyn F. Witt Social Worker 606 Sunnyside St., Denton, MD 21629 2008-06-25
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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
1811913841 John J Mulford Nurse Practitioner 2438 Lillian Miller Pkwy, Suite 100, Denton, TX 76205-2973 2006-07-14
1255371589 Janice Hill Nurse Practitioner 3537 S I35 E, Suite 210, Denton, TX 76210-6850 2006-06-07
1104817436 Mary Cruz Loya Nurse Practitioner 3537 S I 35 E Ste 210, Denton, TX 76210 2005-11-04
1205469798 Meghan Elizabeth Dowling Nurse Practitioner 2501 W Oak St Ste 101, Denton, TX 76201-4324 2020-02-13
1316415508 Shawn Michelle Stevens Nurse Practitioner 2665 Scripture Street, Denton, TX 76201 2018-11-06
1386017341 Natalie Monique Franks Nurse Practitioner 3303 Colorado Blvd, Denton, TX 76210-6812 2015-11-12
1457771362 Margaretta Sapon-amoah Nurse Practitioner 3000 N Interstate 35, Denton, TX 76201-5119 2014-04-17
1477986909 Elizabeth A Woodall Nurse Practitioner 2725 Wind River Ln, Denton, TX 76210-2999 2013-08-20
1801229133 Megan Wojtko Nurse Practitioner 808 S 5th Ave, Denton, MD 21629-1398 2013-08-09
1124386941 Kelly J Fox LLC Nurse Practitioner 2412 Old North Rd, Suite 100b, Denton, TX 76209-1548 2012-04-30
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Competitor

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City DENTON
Zip Code 21629

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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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