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SHELLY ANN REYNOLDS LPN
NPI 1417586025
Licensed Practical Nurse in Royal Oak, MI

Active since April 06, 2020
28000 WOODWARD AVE STE 100, ROYAL OAK, MI 48067(248) 395-3777 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly Ann Reynolds Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY ANN REYNOLDS LPN (NPI 1417586025) is an individual licensed practical nurse in Royal Oak, Michigan, licensed in Michigan (4703051569) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1417586025
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLY ANN REYNOLDSCredential: LPN
Location Address28000 WOODWARD AVE STE 100Royal Oak, MI 48067-0961
Mailing Address28000 Woodward Ave Ste 100Royal Oak, MI 48067-0961 · (248) 395-3777
Phone(248) 395-3777
Sole ProprietorYes
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1417586025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703051569
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
28000 WOODWARD AVE STE 100, Royal Oak, MI 48067
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Other Identifiers 1

Medicaid4703051569MI

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA L BROWN LMSW, SSW
Social Worker (Clinical)
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 395-3777
HANNAH LEINONEN
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 762-5590
JERRY GORDON CARNOVSKY RN
Registered Nurse
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 395-3777
HEALTHCALL OF DETROIT
Behavior Analyst
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 440-1496
SAVANNAH SIKORSKI BCBA, LBA
Behavior Analyst
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 395-3777
LESLIE WALICKI
Behavior Analyst
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 762-5590
GEORGIA STEFFY
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 762-5590
BATSHEVA FORTA
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Oakland County (248) 440-1513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Reynolds's NPI number?

The NPI number for Shelly Reynolds is 1417586025. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Shelly Reynolds located?

Shelly Reynolds practices at 28000 Woodward Ave Ste 100, Royal Oak, MI 48067. The listed phone number is (248) 395-3777.

What is Shelly Reynolds's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelly Reynolds was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.