SHELLY ANN REYNOLDS (NPI# 1417586025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417586025 |
| Entity Type | Individual |
| Full Name | SHELLY ANN REYNOLDS |
| Credential | LPN |
| Practice Address |
28000 Woodward Ave Ste 100 Royal Oak MI 48067-0961 |
| Practice Telephone | 2483953777 |
| Mailing Telephone | 2483953777 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703051569 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4703051569 | 05 |
| Street Address |
28000 WOODWARD AVE STE 100 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346255205 | Healthcall Homecare LLC | Home Health | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2006-07-29 |
| 1407469562 | Batsheva Forta | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-08-28 |
| 1669085320 | Tresi Jolley | Technician/Technologist | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-08-24 |
| 1174152789 | Jerry Gordon Carnovsky | Registered Nurse | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-04-06 |
| 1417583238 | Elizabeth Kendall | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-03-13 |
| 1134752272 | Megan Leonatti | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1124651260 | Regan Soriano | Behavior Technician | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2020-02-18 |
| 1235774092 | Leslie Walicki | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-15 |
| 1427693282 | Michelle Schmitt | Behavioral Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-15 |
| 1194360651 | Healthcall of Detroit | Assistant Behavior Analyst | 28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962965590 | Linda Hendrien | Licensed Practical Nurse | 1422 Hickory Ave, Royal Oak, MI 48073-3292 | 2019-04-10 |
| 1992249064 | Francis Victoria Brooks | Licensed Practical Nurse | 2621 N Wilson Ave, Royal Oak, MI 48073-4226 | 2016-12-08 |
| 1871983734 | Anne Villerot | Licensed Practical Nurse | 1016 W Windemere Ave, Royal Oak, MI 48073-5215 | 2015-01-30 |
| 1225434095 | Carla Marie Kocsis | Licensed Practical Nurse | 223 Midland Blvd, Royal Oak, MI 48073 | 2014-11-06 |
| 1215354071 | Mary Fundaro | Licensed Practical Nurse | 4345 Crooks Rd, Unit 4, Royal Oak, MI 48073-1971 | 2014-03-18 |
| 1487087086 | Vicky Terry | Licensed Practical Nurse | 751 Hendrie Blvd, Royal Oak, MI 48067-3150 | 2013-08-19 |
| 1912443011 | Stacy Gissal | Licensed Practical Nurse | 28000 Woodward Ave, Suite 100, Royal Oak, MI 48067-0960 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
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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.