MISS BROOKE LEANN REYNOLDS (NPI# 1437366002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437366002 |
| Entity Type | Individual |
| Full Name | MISS BROOKE LEANN REYNOLDS |
| Credential | PA-C |
| Practice Address |
7392 Magnolia Ave #2711 Riverside CA 92504 |
| Practice Telephone | 9513523330 |
| Practice Fax Number | 9513523303 |
| Mailing Telephone | 9513523330 |
| Mailing Fax Number | 9513523303 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 18162 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153021 | Brooke Reynolds | In Home Supportive Care | 512 Klumac Rd Ste 9, Salisbury, NC 28144-6752 | 2019-09-19 |
| 1376075267 | Brooke Reynolds | Physical Therapist | 2541 Pass Rd, Biloxi, MS 39531-2106 | 2017-03-30 |
| 1881035087 | Brooke Lauren Reynolds | Optometrist | 1259 Main St, Imperial, MO 63052-3852 | 2013-07-16 |
| 1598080830 | Brooke Reynolds | Social Worker | 333 Church St, Wrangell, AK 99929-1231 | 2010-03-30 |
| Street Address |
7392 MAGNOLIA AVE #2711 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740398536 | Kay Mukergee | Pediatrics | 7392 Magnolia Ave, Riverside, CA 92504-3808 | 2006-08-29 |
| 1750512638 | Jennifer Zamora | Physician Assistant | 7392 Magnolia Ave, Riverside, CA 92504 | 2009-07-27 |
| 1396999777 | Mitra Ansari | Physician Assistant | 7392 Magnolia Ave, Riverside, CA 92504-3808 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| Find all providers in RIVERSIDE | ||||
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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.