NADINE REYNOLDS


Address: 3410 Old Lansing Rd, Lansing, MI 48917-4392
Phone: 5176572980

NADINE REYNOLDS (NPI# 1588142780) 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) 1588142780
Entity Type Individual
Full Name NADINE REYNOLDS
Other Name NADINE BROWN
Practice Address 3410 Old Lansing Rd
Lansing
MI 48917-4392
Mailing Address 1013 N River Rd
Saginaw
MI 48609-6833
Practice Telephone 5176572980
Practice Fax Number 5179935982
Mailing Telephone 9895963558
Mailing Fax Number 9894017509
Enumeration Date 2018-07-31
Last Update Date 2018-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist MI Other Service Providers

Office Location

Street Address 3410 OLD LANSING RD
City LANSING
State MI
Zip Code 48917-4392

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306114814 Dolores Jean Miller Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2011-12-12
1811507940 Megan Heydlauff Social Worker 3410 Old Lansing Rd, Lansing, MI 48917-4392 2020-08-04
1770114886 Dorothy Bernice Osborne Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2020-01-28
1952942872 Stephanie Wilkinson Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2019-10-02
1669024014 Amanda Lee Davarn Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2019-07-15
1972083897 Rashaun P Hankins Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2018-08-20
1629554035 Jillann Darnell Peer Specialist 3410 Old Lansing Rd, Lansing, MI 48917-4392 2018-07-18
1972093730 Catrina R Bady-adams Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2018-05-16
1588152060 Anna Franklin Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2018-04-30
1083149017 Reshia K King Counselor 3410 Old Lansing Rd, Lansing, MI 48917-4392 2017-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053937102 Tawni Klein Speech-Language Pathologist 701 Snow Rd Suite A, Lansing, MI 48917 2020-06-24
1639700545 Steevens Pierre Mirville Technician 5814 Cabrena Drive, Lansing, MI 48917 2020-01-29
1376197830 Cheryl Ann Day Physical Therapist 7107 Treasure Isle, Lansing, MI 48917 2019-08-01
1912423849 National Seating & Mobility, Inc Durable Medical Equipment & Medical Supplies 419 Lentz Ct, Lansing, MI 48917 2017-08-22
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1497037584 Fms Lansing, LLC Clinic/Center 916 Mall Drive East, Suite 100, Lansing, MI 48917 2011-09-14
1326332396 Talitha P Easterly Psychologist 302 South Waverly, Suite 1, Lansing, MI 48917 2011-06-07
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1407460645 Trina Nicole Day Peer Specialist 913 W Holmes Rd Ste 200, Lansing, MI 48910-0411 2020-09-04
1508477985 Nancy Lee Riutta Peer Specialist 913 W Holmes Rd Ste 200, Lansing, MI 48910-0411 2020-08-11
1700496510 Aarne Riutta Peer Specialist 913 W Holmes Rd, Lansing, MI 48910-0426 2020-08-06
1871130294 Patricia Allen Peer Specialist 913 W Holmes Rd Ste 200, Lansing, MI 48910-0411 2019-12-04
1225675630 Adam Strzalkowski Peer Specialist 913 W Holmes Rd, Lansing, MI 48910-0426 2019-12-04
1629554035 Jillann Darnell Peer Specialist 3410 Old Lansing Rd, Lansing, MI 48917-4392 2018-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026284 Leah Mae Sindone Peer Specialist 22324 Derby Rd, Woodhaven, MI 48183-3700 2020-09-04
1992314728 Willie Earl Feggins Peer Specialist 370 Country Club Rd, Holland, MI 49423-8303 2020-07-28
1831711613 John Lee Williams Jr. Peer Specialist 24400 Schoolcraft, Redford, MI 48239-2633 2020-05-14
1568084861 Zannie Roy Jackson Jr. Peer Specialist 36801 Ann Arbor Trl, Livonia, MI 48150-3422 2020-05-11
1417578865 Veronica R Vasquez Peer Specialist 500 Hancock St # 48602, Saginaw, MI 48602-4224 2020-04-27
1235768680 Matthew Milz Peer Specialist 145o S Lapeer Rd, Oxford, MI 48371-4982 2020-04-07
1558996132 Camille Jewell Jackson Peer Specialist 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 2020-03-04
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
1003453267 Patricia Ann Love Peer Specialist Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 2019-12-06
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Competitor

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City LANSING
Zip Code 48917

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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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