ADRIANNA TAYLOR REAGAN (NPI# 1962032474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962032474 |
Entity Type | Individual |
Full Name | ADRIANNA TAYLOR REAGAN |
Practice Address |
74 Lee Road 2138 Phenix City AL 36870-1007 |
Practice Telephone | 7063252602 |
Mailing Telephone | 7063252602 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | S12721 | AL | Student, Health Care |
Street Address |
74 LEE ROAD 2138 |
City | PHENIX CITY |
State | AL |
Zip Code | 36870-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871116426 | Sara Ann Underwood | Technician/Technologist | 3922a Us Hwy 80 West, Phenix City, AL 36870 | 2020-05-18 |
1043797228 | Alicia Lynn Morris | Nurse Practitioner | 678 Lee Road 450, Phenix City, AL 36870 | 2018-07-20 |
1407273816 | Susan Miles | Community Health Worker | 307 Lee Rd 441, Phenix City, AL 36870 | 2014-03-24 |
1700217593 | Sunshine Spinal Center | Family Medicine | 3304 Us Highway 80 West, B-1, Phenix City, AL 36870 | 2013-12-05 |
1114016094 | James Stratford Williams | Physician Assistant | 904 Lee Road 2017, Phenix City, AL 36870 | 2006-10-11 |
1659634137 | Riverchase Dental Care | Dentist | 5009 Riverchase Drive, Building 100 Suite B, Phenix City, AL 36870 | 2012-06-20 |
1518583442 | Latonia Davis | Private Vehicle | 438 Lee Road 2090, Phenix City, AL 36870-1075 | 2020-06-16 |
1255678363 | Bryce Andrew Ciancio | Specialist/Technologist | 2400 Dobbs Dr, Phenix City, AL 36870-2305 | 2013-01-09 |
1780154856 | Lillian Thomas Barker | Specialist/Technologist | 2400 Dobbs Dr, Phenix City, AL 36870-2305 | 2018-11-30 |
1982234498 | Victoria Pate | Student in an Organized Health Care Education/Training Program | 2806 Gatewood Dr, Phenix City, AL 36870-2321 | 2020-01-23 |
Find all providers in zip 36870 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073142071 | Craig Robert Goldhagen | Student in an Organized Health Care Education/Training Program | 5295 Riverchase Dr Apt 306, Phenix City, AL 36867-7507 | 2020-04-02 |
1811527328 | Jennifer Rammage | Student in an Organized Health Care Education/Training Program | 23 Newberry Dr, Phenix City, AL 36870-8524 | 2020-01-23 |
1982234498 | Victoria Pate | Student in an Organized Health Care Education/Training Program | 2806 Gatewood Dr, Phenix City, AL 36870-2321 | 2020-01-23 |
1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
1386019560 | Byron Dixon | Student in an Organized Health Care Education/Training Program | 1113 Sandfort Rd, Phenix City, AL 36867-6651 | 2015-12-14 |
1639791254 | Jacob Taunton | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-05-18 |
1598385650 | Meera Gill | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-04-19 |
1215564232 | Michael Taylor Ulmer | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-03-27 |
1528625712 | Benjamin Catoe | Student in an Organized Health Care Education/Training Program | 4401 River Chase Dr, Phenix City, AL 36867 | 2019-05-22 |
1841855038 | Aaron Joiner | Student in an Organized Health Care Education/Training Program | 4401 River Chase Drive, Phenix City, AL 36867 | 2019-05-03 |
Find all providers in PHENIX CITY |
City | PHENIX CITY |
Zip Code | 36870 |
Please comment or provide details below to improve the information on ADRIANNA TAYLOR REAGAN.
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.