MRS. ANDREA MARIE REYNOLDS (NPI# 1912130295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912130295 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA MARIE REYNOLDS |
| Credential | M.S., CCC-SLP |
| Practice Address |
2016 S Washington St Grand Forks ND 58201-6342 |
| Mailing Address |
3402 Cherry Lynn Dr Grand Forks ND 58201-7644 |
| Practice Telephone | 7017758934 |
| Practice Fax Number | 7017574208 |
| Mailing Telephone | 7012152030 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 7602 | MN | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 1260 | ND | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1548434079 | Andrea Brown Reynolds | Pediatrics | 4810 Whitesport Cir Sw Ste 100, Huntsville, AL 35801-7420 | 2008-04-16 |
| 1659912764 | Andrea Mcgann Reynolds | Occupational Therapist | 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 | 2019-10-01 |
| 1508344730 | Andrea Reynolds | Community Health Worker | 1550 Old Henderson Rd, Columbus, OH 43220-3626 | 2018-07-31 |
| 1639556772 | Andrea Reynolds | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2015-04-28 |
| 1811278765 | Andrea Reynolds | Counselor | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2011-09-06 |
| 1811209695 | Andrea Marie Reynolds | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2010-07-08 |
| 1396071932 | Andrea L Reynolds | Massage Therapist | 129 Phelps Ave, Rockford, IL 61108-2453 | 2009-11-01 |
| 1932371010 | Andrea Reynolds | Audiologist | 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1404 | 2008-03-28 |
| Street Address |
2016 S WASHINGTON ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831389279 | Lindsay Dawn Schulz | Speech-Language Pathologist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2007-08-01 |
| 1508481227 | Taylor White I | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-06-09 |
| 1114546843 | Brooke Hansey | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-04-13 |
| 1215567896 | Kristen Gee | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1467082040 | Alayna Castro | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1366072944 | Kacie Grace Baumler | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1750922555 | Alicia Bullinger | Physical Therapist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-10-02 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1174180129 | Mariah Liann Duchesne | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1750843660 | Lindsay Birke | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771639 | Meredith A. Christiansen | Speech-Language Pathologist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2019-07-03 |
| 1881253755 | Jessica Qualley | Speech-Language Pathologist | 1375 S Columbia Rd, Grand Forks, ND 58201-4015 | 2019-06-13 |
| 1588144539 | Crystal Baerwald | Speech-Language Pathologist | 2810 19th Ave S, Grand Forks, ND 58201-5957 | 2018-08-20 |
| 1487056966 | Nicole Reybok | Speech-Language Pathologist | 605 Stanford Rd, Grand Forks, ND 58203-2128 | 2014-09-16 |
| 1659797587 | Anita Rae Klenner | Speech-Language Pathologist | 701 Walnut St, Grand Forks, ND 58201-4835 | 2014-03-17 |
| 1285987081 | Andrea Rachelle Volk | Speech-Language Pathologist | 121 N Washington St, Grand Forks, ND 58203-3400 | 2012-10-18 |
| 1619227212 | Erin Kocourek | Speech-Language Pathologist | 3000 Cherry St, Grand Forks, ND 58201-7400 | 2012-09-12 |
| 1699063875 | Michelle Rae Spicer | Speech-Language Pathologist | 1200 S Columbia Rd -altru Hospital, Grand Forks, ND 58201 | 2011-07-21 |
| 1841583820 | Chelsey J. Kjono | Speech-Language Pathologist | 2512 S Washington St Ste C, Grand Forks, ND 58201 | 2011-05-24 |
| 1750578316 | Sandra Diane Carr | Speech-Language Pathologist | 3633 10th Ave N, Grand Forks, ND 58203-2006 | 2007-09-27 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.