Mary Alyce Reynolds, L.P.N.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

8596 Issued in WY

Practice address

975 Gilchrist St
Wheatland, WY 82201-2931

Phone

(307) 322-8122

Fax

(307) 322-3449

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mary Alyce Biesterfeld Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Counseling & Consulting

  • Community/Behavioral Health Agency
  • Cheyenne, WY
  • NPI 1538462783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1023461001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797",
            "fax_number": "307-426-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 GILCHRIST ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012931",
            "telephone_number": "307-322-8122",
            "fax_number": "307-322-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARY",
        "middle_name": "ALYCE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": "8596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BIESTERFELD",
            "middle_name": "ALYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Purple Door - Counseling & Consulting LLC
• Jennifer A Raser
• Ellen Reimers, DDS
• Julie Lorraine Resheske, CPNP
• Respitech Home Health Care Inc (Rotech)
• Shannon Ridge, PHARMD
• Elizabeth Rosemarie Roark, BSW, MSW, PCSW-1175
• Deborah Diane Robertson, RNC,NNP
• Hayley Robertson, SLP
• Katherine Nicole Roth, FNP-C

• Case Manager/Care Coordinator in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.