Amanda Reynolds (NPI# 1952785222, PAC ID# 3375859887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952785222 |
| PAC ID by PECOS | 3375859887 |
| Professional Enrollment ID | I20150828001685 |
| Full Name | Amanda Reynolds |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Address |
7 S Hospital Dr Murphysboro IL 62966-3333 |
| Phone Number | 6186873418 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658285671 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140011 | HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7 S Hospital Dr, Murphysboro, IL 62966-3333 | 6186873418 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Organization Legal Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Walker | Certified Nurse Midwife | Shawnee Health Service and Development Corp | 3303 Logan Dr, Herrin, IL 62948-3732 |
| Tiffany Todd | Clinical Social Worker | Shawnee Health Service and Development Corp | 101 S Wall St, Carbondale, IL 62901-3021 |
| Douglas C Brown | Family Medicine | Shawnee Health Service and Development Corp | 1506 Sioux Dr, Marion, IL 62959-5209 |
| Kelly C Higgins | Internal Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Jeffery W Ripperda | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Jocelyn Leon Peters | Obstetrics/gynecology | Shawnee Health Service and Development Corp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Ana Risse | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Aaron Newcomb | Family Medicine | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Barbara G Grear | Clinical Social Worker | Shawnee Health Service and Development Corp | 400 S Lewis Ln, Carbondale, IL 62901-3547 |
| Street Address |
7 S HOSPITAL DR |
| City | MURPHYSBORO |
| State | IL |
| Zip | 62966-3333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery W Ripperda | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Ana Risse | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Clare T Williams | Family Medicine | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Laura Castillo | Nurse Practitioner | Shawnee Health Service and Development Corp | 7 S Hospital Dr, Murphysboro, IL 62966-3333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Mills | Chiropractic | Health Centers of Southern Illinois Sc. | 1012 N 14th St, Murphysboro, IL 62966-1600 |
| Evan T Belfer | Family Medicine | 801 N 14th St, Murphysboro, IL 62966-1611 | |
| Thomas W Kupferer | Family Medicine | 628 N 14th St, Murphysboro, IL 62966-1807 | |
| Geoffrey A Spears | Optometry | 1008 Locust, Murphysboro, IL 62966-2155 | |
| John T Corley | Chiropractic | 716 Walnut St, Murphysboro, IL 62966-2160 | |
| Bobbie L Whitacre | Chiropractic | Murphysboro Chiropractic Clinic, PC | 106 S 14th St, Murphysboro, IL 62966-2515 |
| Jason R Whitacre | Chiropractic | Murphysboro Chiropractic Clinic, PC | 106 S 14th St, Murphysboro, IL 62966-2515 |
| Margaret Ann Howard | Clinical Social Worker | 1400 N Wood Rd, Murphysboro, IL 62966-6290 | |
| Mary Ann Wildwood | Clinical Social Worker | 1400 N Wood Rd, Murphysboro, IL 62966-6290 | |
| Melinda L Bloos | Psychologist, Clinical | 1400 N Wood Rd, Milwood Executive Suites, Murphysboro, IL 62966-6290 | |
| Find all physicians in zip 62966 | |||
| City | MURPHYSBORO |
| Zip Code | 62966 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MURPHYSBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.