Natalie Reynolds

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703105656 Issued in MI

Practice address

19735 Faust Ave
Detroit, MI 48219-2116

Phone

(313) 595-3066

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1013461300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 FAUST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192116",
            "telephone_number": "313-595-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 FAUST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192116",
            "telephone_number": "313-595-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703105656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Reynolds, MSW
• Freddy L Reynolds
• Gordon Reynolds, LLMSW
• Isharon Benyette Reynolds, NP-C
• Kathleen Ellizabeth Reynolds, RN, MSN, CNS, NP
• Stewart Reynolds
• Berta Rezik, M.D.
• Mohamed Rezik, D.O
• RGH Enterprises, LLC
• Matthew C. Rheinboldt, MD

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.