ROBERT DAVID REYNOLDS JR. (NPI# 1497283402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497283402 |
Entity Type | Individual |
Full Name | ROBERT DAVID REYNOLDS JR. |
Credential | APRN |
Practice Address |
557 Hickory Rd Bristol TN 37620-6059 |
Practice Telephone | (276) 696-5152 |
Mailing Telephone | 2766965152 |
Enumeration Date | 2017-06-03 |
Last Update Date | 2017-06-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22665 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689189656 | Robert Chadd Reynolds | Technician/Technologist | 17740 W Stella Ln, Waddell, AZ 85355-9640 | 2017-12-12 |
1457612376 | Robert Michael Reynolds | Licensed Vocational Nurse | 8180 Stoney Creek Rd, Jackson, CA 95642-9483 | 2012-06-06 |
1366673535 | Robert Dee Reynolds | Specialist | 11300 Coloma Rd Ste A11, Gold River, CA 95670-4476 | 2009-08-05 |
1063473767 | Robert M Reynolds | Anesthesiology | 710 Water St, Kerrville, TX 78028-5329 | 2006-03-31 |
1043210263 | Robert B Reynolds | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-07-29 |
1740821099 | Robert Dale Reynolds Jr. | Registered Nurse | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2019-10-07 |
1417418138 | Robert B. Reynolds | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-03-26 |
1033616487 | Robert Reynolds | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2018-04-11 |
1952802621 | Robert Reynolds | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2018-02-27 |
1184075970 | Robert Brian Reynolds | Pharmacist | 3210 Banksville Rd, Pittsburgh, PA 15216-2757 | 2016-06-23 |
Street Address |
557 HICKORY RD |
City | BRISTOL |
State | TN |
Zip Code | 37620-6059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
Find all providers in zip 37620 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
1124633581 | Kristen L Viars | Nurse Practitioner | 501 Garden Ln, Bristol, VA 24201-1512 | 2020-09-12 |
1780295071 | Leslie Berryman | Nurse Practitioner | 901 Hill St, Bristol, TN 37620-2141 | 2020-08-11 |
1972134021 | Shonna Morenings | Nurse Practitioner | 200 Richmond Heights Rd, Bristol, TN 37620-6612 | 2020-01-28 |
1891347936 | Brittney O'hara | Nurse Practitioner | 350 Steeles Rd Ste 2, Bristol, TN 37620-9532 | 2019-07-09 |
1518524628 | Constance K Siekierski | Nurse Practitioner | 17 Platt St, Bristol, RI 02809-4317 | 2019-05-23 |
1477014827 | Mary Beth Foran | Nurse Practitioner | 1135 Columbia Rd, Bristol, TN 37620-4421 | 2019-03-28 |
1932663580 | Dana Lynn Mcdonnell | Nurse Practitioner | 415 Hart St, Bristol, CT 06010-2393 | 2019-01-29 |
1215405352 | Linda Carol Holmes | Nurse Practitioner | 1 Monarch Dr, Bristol, VA 24201-3138 | 2018-11-07 |
1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
Find all providers in BRISTOL |
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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.