Russ Reynolds

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

RT00003044 Issued in WA

Legal business name

RUSS REYNOLDS

Practice address

220 25TH St NE
East Wenatchee, WA 98802-4097

Phone

(509) 884-0602

Fax

(509) 884-0602

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Russ K Reynolds, RTNPI 1679610356

Title

Owner

Phone

(509) 884-0602

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russ K Reynolds, RT

  • Radiography Radiologic Technologist
  • East Wenatchee, WA
  • NPI 1679610356
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1821268855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 25TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024097",
            "telephone_number": "509-884-0602",
            "fax_number": "509-884-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 25TH ST NE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024097",
            "telephone_number": "509-884-0602",
            "fax_number": "509-884-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS REYNOLDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RUSS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-884-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "WA",
            "license": "RT00003044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7015290",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Rivas Parra, DPT
• Tanya Lisette Rivera, M.S., CF-SLP
• Myranda Lynn Roberts, CDPT
• Carli Grace Robins, MS, LAT, ATC
• Laree Rumble, M.ED, LMHC
• Olga A Rybakov, NURSE PRACTIONER
• Safeway Inc
• Select Sound Hearing, LLC
• Amy Valentine Semmons, RPH
• Seniors Delight Afh Oasis LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.