MRS. KIM AURORA REYNOLDS (NPI# 1699876300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699876300 |
| Entity Type | Individual |
| Full Name | MRS. KIM AURORA REYNOLDS |
| Credential | M.D |
| Practice Address |
2305 Executive Cir 102 Greenville NC 27834-3749 |
| Mailing Address |
Po Box 885 Ahoskie NC 27910-0885 |
| Practice Telephone | 2524390700 |
| Practice Fax Number | 2524390900 |
| Mailing Telephone | 2524390700 |
| Mailing Fax Number | 2524390900 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
200301405 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA NUMBER | BR8625898 | 01 |
| NC | 891350 | 05 | |
| NC | STATE LICENSE | 200301405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427296383 | Kim C Reynolds | Specialist/Technologist | 1101 W Griffin Pkwy, Mission, TX 78572-2220 | 2009-01-30 |
| 1578877809 | Kim Dee Reynolds | Counselor | 1111 Belt Line Rd, Suite 215, Garland, TX 75040-3299 | 2010-07-28 |
| 1205015864 | Kim M Reynolds | Pharmacist | 303 Main St, Massena, NY 13662-1903 | 2007-10-31 |
| Street Address |
2305 EXECUTIVE CIR 102 |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676267 | Denike Mitchell Davis | Counselor | 2305 Executive Cir, Greenville, NC 27834-3749 | 2020-10-15 |
| 1861016214 | Simone Bryant | Social Worker | 2305 Executive Cir, Greenville, NC 27834-3749 | 2020-06-02 |
| 1487094124 | Integrated Family Services | Community/Behavioral Health | 2305 Executive Cir, Suite 102, Greenville, NC 27834-3749 | 2013-06-26 |
| 1962766956 | Sarah Reed | Social Worker | 2305 Executive Cir, Suite 101, Greenville, NC 27834-3749 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1255462917 | Gloria Rodarte Brun, M. D., P. A. | Psychiatry & Neurology | 5604 Wesley St, Ste. 101, Greenville, TX 75402-6326 | 2007-03-07 |
| 1710042304 | Nancy Louise Vogel | Psychiatry & Neurology | 925 Conference Dr, Greenville, NC 27858-5971 | 2006-12-26 |
| 1396738977 | Susan Kaye Lucas Mcginty | Psychiatry & Neurology | 701 Grove Rd Ste 200, Greenville, SC 29605-4210 | 2005-08-29 |
| 1336588227 | Arun Handa | Psychiatry & Neurology | 701 Grove Rd, Greenville, SC 29605 | 2013-06-24 |
| 1225377328 | Fernando M. Siles, Md, Pllc | Psychiatry & Neurology | 2405 Stonewall St, Greenville, TX 75401-3349 | 2013-02-08 |
| 1235402884 | Integrated Family Services, Pllc | Psychiatry & Neurology | 105 E Victoria Ct, Suite A, Greenville, NC 27858-5755 | 2012-02-13 |
| 1255622726 | Kathy Schutz Lcsw PC | Psychiatry & Neurology | 702 Cromwell Dr, Suite G, Greenville, NC 27858-5436 | 2011-05-02 |
| 1336439637 | Brittany Page Rodgers | Psychiatry & Neurology | 27 Memorial Medical Dr, Greenville, SC 29605-4407 | 2011-04-08 |
| 1215255773 | Megan White Zappitelli | Psychiatry & Neurology | 701 Grove Rd, Greenville, SC 29605-4210 | 2010-05-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on MRS. KIM AURORA REYNOLDS.
| 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.