WADE REYNOLDS (NPI# 1992295000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992295000 |
| Entity Type | Individual |
| Full Name | WADE REYNOLDS |
| Credential | FNP-C |
| Practice Address |
3061 E Vallejo Dr Gilbert AZ 85298-9059 |
| Mailing Address |
3317 S Higley Rd Ste 114 Gilbert AZ 85297-5437 |
| Practice Telephone | 4802484154 |
| Mailing Telephone | 4802484154 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | RN183469 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 225061 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780695965 | Wade D Reynolds | Family Medicine | 111 Ivy Park Lane, Suite C, Lexington, SC 29072 | 2006-08-11 |
| Street Address |
3061 E VALLEJO DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298-9059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374371 | Kelley Brooke Corl | Nurse Practitioner | 872 S Pheasant Dr, Gilbert, AZ 85296-0440 | 2020-10-22 |
| 1154948800 | Christina Marie Heiken | Nurse Practitioner | 4001 E Baseline Rd Ste 101, Gilbert, AZ 85234-2736 | 2020-06-29 |
| 1841753027 | Ellison Amy Edwards | Nurse Practitioner | 262 E Frances Ln, Gilbert, AZ 85295-1975 | 2019-04-13 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1669825469 | Brittney Schneider | Nurse Practitioner | 2005 E Brigadier Dr, Gilbert, AZ 85298-9728 | 2016-07-15 |
| 1700110434 | Joanna L Heck | Nurse Practitioner | 1900 N. Higley Road Banner Gateway Medical Center, Gilbert, AZ 85234 | 2009-09-29 |
| 1063662914 | Kathryn Ann Waldo | Nurse Practitioner | 4915 E Baseline Rd Ste 119, Gilbert, AZ 85234-2969 | 2008-09-29 |
| 1952376923 | Kristen A. Branche | Nurse Practitioner | 3530 S Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2006-02-22 |
| 1700888153 | Kellea Turley-danuser | Nurse Practitioner | 3815 S Val Vista Dr, Suite 101, Gilbert, AZ 85297-7308 | 2005-08-15 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on WADE REYNOLDS.
| 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.