JENNIFER LYNN REAVES (NPI# 1821536012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821536012 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN REAVES |
| Credential | FNP, MSN, RN |
| Practice Address |
1776 Old Spring House Ln Atlanta GA 30338-6225 |
| Mailing Address |
2490 Asbury Ct Decatur GA 30033-3706 |
| Practice Telephone | 7704540091 |
| Mailing Telephone | 7708232278 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN195917 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN195017 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274330 | Jennifer M Reaves | Massage Therapist | 13224 W Broward Blvd, Plantation, FL 33325-2228 | 2020-01-17 |
| 1306978408 | Jennifer L Reaves | Registered Nurse | 3600 Gaston Ave, Wadley Tower Suite 1158, Dallas, TX 75246-1800 | 2007-03-12 |
| Street Address |
1776 OLD SPRING HOUSE LN |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487677167 | Phillip Raymond Rogers | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-07-25 |
| 1437687555 | Amy Lapointe | Physician Assistant | 1776 Old Spring House Ln, Atlanta, GA 30338-6225 | 2017-06-02 |
| 1346690989 | Amy Octavia Zimmerman | Nurse Practitioner | 1776 Old Spring House Ln, Sure 200, Atlanta, GA 30338-6225 | 2016-06-14 |
| 1649474305 | Charner Sue Bellamy | Nurse Practitioner | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2007-06-14 |
| 1407905540 | Family Practice Associates of Atlanta | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2007-01-09 |
| 1801804000 | Scott David Henderson | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-08-03 |
| 1215941992 | Michael Paul Seyfried | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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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.