Shawna Reynolds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

B9579298 Issued in CA

Practice address

855 Canyon Rd
Redding, CA 96001-5544

Phone

(530) 232-1401

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Native American Mental Health Services Corporation

  • Psychiatry Physician
  • Redding, CA
  • NPI 1073919171
  Medicare reassignment
• Positive Approach Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
  • NPI 1699443465
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1689177255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CANYON RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CANYON RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015544",
            "telephone_number": "530-232-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHAWNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "B9579298",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Revnak, RD
• Yolanda Reyes Santana, HEARING AID DISPENSE
• Annalycia Denise Reyes
• Michael Paul Reyes, PTA
• Amber Lynn Reynolds
• Tatyana Reznik, MD
• Rheumatology Associates PC
• Rhiannon Herpolsheimer
• Rylee Shae Rhoades
• Joy P Rhodes

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.