MICHELE L REYNOLDS (NPI# 1801042247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801042247 |
| Entity Type | Individual |
| Full Name | MICHELE L REYNOLDS |
| Credential | ANP |
| Practice Address |
2500 Rike Dr Pine Bluff AR 71603-3937 |
| Practice Telephone | 8705341834 |
| Practice Fax Number | 8705345798 |
| Mailing Telephone | 8705341834 |
| Mailing Fax Number | 8705345798 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A01350 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116378726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356640114 | Michele Reynolds | Pharmacist | 2604 Linglestown Rd, Harrisburg, PA 17110-3622 | 2011-03-19 |
| 1154937365 | Michele L Reynolds | Social Worker | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2020-09-22 |
| 1619154697 | Michele Marie Reynolds | Dietitian, Registered | 2441 S Highway 27, Somerset, KY 42501-2935 | 2008-01-22 |
| 1740486190 | Michele Diane Reynolds | Family Medicine | 19270 Highway 12, Sonoma, CA 95476-5414 | 2007-06-22 |
| 1407073786 | Michele Reynolds | Counselor | 2112 Riverdale St, West Springfield, MA 01089-1024 | 2007-04-19 |
| 1003953696 | Michele Ann Reynolds | Dentist | 6545 France Ave S, Suite 665 Southdale Medical Building, Edina, MN 55435-2131 | 2007-01-31 |
| 1174578413 | Michele Diane Reynolds | Family Medicine | 7515 Greenville Ave, Suite 801, Dallas, TX 75231-3831 | 2006-05-24 |
| 1023076916 | Michele Sue Reynolds | Nurse Anesthetist, Certified Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-05-02 |
| Street Address |
2500 RIKE DR |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170382 | Joyce Walker | Social Worker | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2006-06-09 |
| 1174122451 | Barbara Ellison | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-10-19 |
| 1619509916 | Reginald Pace | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-02-05 |
| 1336786946 | Robyne Watley | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| 1891332508 | Brionna Davis | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| 1083256820 | Marious Tolbert | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-10-14 |
| 1629552278 | Lanivia Morris | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-09-19 |
| 1184131880 | Cassandra K Edwards | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2018-01-03 |
| 1417461989 | Holly E Dial | Registered Nurse | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2017-11-20 |
| 1104356328 | Aerielle Lawrence | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760780191 | Kratisha Culclager | Nurse Practitioner | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2011-03-09 |
| 1922315613 | Uhronda Reel | Nurse Practitioner | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2010-09-02 |
| 1225261282 | Diane C Boyd | Nurse Practitioner | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.