JACOB REYNOLDS (NPI# 1710435433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710435433 |
| Entity Type | Individual |
| Full Name | JACOB REYNOLDS |
| Practice Address |
6170 Central St Romulus MI 48174-4217 |
| Practice Telephone | 7345129296 |
| Mailing Telephone | 7345129296 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | MI | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781830 | Jacob Nicholas Reynolds | Physical Therapist | 1311 Wakarusa Dr Ste 1000, Lawrence, KS 66049-1741 | 2019-10-16 |
| 1205380342 | Jacob Reynolds | Physical Therapist | 1695 Marietta Blvd Nw, Atlanta, GA 30318-3644 | 2016-08-05 |
| 1437507456 | Jacob Reynolds | Ophthalmology | 3601 4th St, Lubbock, TX 79430-0002 | 2016-05-31 |
| 1528412210 | Jacob Reynolds | Family Medicine | 101 Martin Luther King Dr, Mankato, MN 56001-6460 | 2016-04-19 |
| Street Address |
6170 CENTRAL ST |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427508555 | Anglea Leniece Fox | Technician, Other | 6012 Edmund St, Romulus, MI 48174-4449 | 2016-10-13 |
| 1659829737 | Jasmine Parhum | Technician, Other | 28936 Whitby Dr, Romulus, MI 48174-3193 | 2016-09-16 |
| 1497202733 | Kathleen Ruth Chubb | Technician, Other | 7160 Taft St, Romulus, MI 48174-2149 | 2016-09-02 |
| 1225585623 | Tina Hearn-hatcher | Technician, Other | 35024 Park Pl, Romulus, MI 48174-1848 | 2016-09-02 |
| 1841746765 | Denzel Evans | Technician, Other | 15052 Mesa Way, Romulus, MI 48174-3283 | 2016-08-31 |
| 1720533623 | Angela Brown | Technician, Other | 30581 Redwood Ln, Romulus, MI 48174-3263 | 2016-08-20 |
| 1982158879 | Ladonna Payne | Technician, Other | 35605 Margaret St Apt 301, Romulus, MI 48174-3371 | 2016-08-08 |
| 1356894158 | Jennifer Rose Parks | Technician, Other | 39140 Cherokee Dr, Romulus, MI 48174-5025 | 2016-07-27 |
| 1346692415 | Miracle Baynes | Technician, Other | 35875 Cypress St, Romulus, MI 48174-4033 | 2016-07-12 |
| 1568811032 | Cynthia Potter I | Technician, Other | 35527 Hawthorne Dr, Romulus, MI 48174-6330 | 2016-06-06 |
| Find all providers in ROMULUS | ||||
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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.