NADINE REYNOLDS (NPI# 1588142780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
Street Address |
3410 OLD LANSING RD |
City | LANSING |
State | MI |
Zip Code | 48917-4392 |
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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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 |
Find all providers in zip 48917 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
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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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.