PETAGAYE LATOYA REYNOLDS (NPI# 1992265334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992265334 |
| Entity Type | Individual |
| Full Name | PETAGAYE LATOYA REYNOLDS |
| Practice Address |
320 176th St E Spanaway WA 98387-8322 |
| Mailing Address |
1441 Grindstone Dr Se Olympia WA 98513-9446 |
| Practice Telephone | 2536837400 |
| Practice Fax Number | 2536837498 |
| Mailing Telephone | 7077249578 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
60869053 | WA | Nursing Service Providers |
| Street Address |
320 176TH ST E |
| City | SPANAWAY |
| State | WA |
| Zip Code | 98387-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952749079 | Ann Katherine Johnson | Speech-Language Pathologist | 320 176th St E, Spanaway, WA 98387-8322 | 2013-06-11 |
| 1457821365 | Linda Jean Copeland | Registered Nurse | 320 176th St E, Spanaway, WA 98387-8322 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673934 | Mckenzie L Cooper | Behavioral Analyst | 27421 30th Ave E, Spanaway, WA 98387 | 2019-08-08 |
| 1902467442 | Lindsey Taylor Reynolds | Speech-Language Pathologist | Bethel High School, 22215 38th Ave E, Spanaway, WA 98387 | 2019-06-25 |
| 1700353299 | David York | Chiropractor | 18407 Pacific Avenue, Suite A-11, Spanaway, WA 98387 | 2018-11-01 |
| 1730669391 | Lindsey Copus | Speech-Language Pathologist | 516 176th E, Spanaway, WA 98387 | 2018-08-14 |
| 1023531720 | Rebecca Susan Callaway | Behavioral Analyst | 4606 216th St Ct E, Spanaway, WA 98387 | 2017-07-25 |
| 1780093666 | Ramandeep Grewal | Pharmacist | 20307 Mountain Hwy W, Spanaway, WA 98387 | 2014-08-05 |
| 1730464223 | Dawn Michelle Johnson | Counselor | 7714 197th Street Ct E, Spanaway, WA 98387 | 2011-10-15 |
| 1982929469 | Abracadabra Recovery Inc | Community/Behavioral Health | 18407 Pacific Avenue South, Spanaway, WA 98387 | 2010-03-29 |
| 1932348810 | Christine Ann Uhl | Specialist | 8306 205th St Ct East, Spanaway, WA 98387 | 2009-02-17 |
| 1205072659 | Karen Lynn Iverson | Specialist | 5410 184th. Street East, Bethel Schools, Spanaway, WA 98387 | 2009-01-06 |
| Find all providers in zip 98387 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013361153 | Chantal Vieira Lopata | Registered Nurse | 7319 Eustis Hunt Rd, Spanaway, WA 98387-5332 | 2016-04-14 |
| 1174999585 | Diane Younge-barnes | Registered Nurse | 22015 22nd Ave E, Spanaway, WA 98387-7511 | 2015-08-19 |
| 1902413222 | Elizabeth Ann Hemphill | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2020-09-30 |
| 1578043188 | Marie Claudia Byarlay | Registered Nurse | 7319 Eustis Hunt Rd, Spanaway, WA 98387-5332 | 2018-08-14 |
| 1720515422 | Shannon R Rutland | Registered Nurse | 516 176th St E, Spanaway, WA 98387 | 2017-05-12 |
| 1063969285 | Martha Thompson | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2016-09-06 |
| 1861947400 | Leonida Juana Mcgowan | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2016-08-24 |
| 1730554387 | Barbara Otto | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2015-12-08 |
| 1912303348 | Penny Friedman | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2014-11-12 |
| 1821427311 | Cassandra Hayes | Registered Nurse | 516 176th St E, Spanaway, WA 98387-8335 | 2013-11-05 |
| Find all providers in SPANAWAY | ||||
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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.