Jeff G Reynolds

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

23U713 Issued in CO

Practice address

11 Westmark Ave
Colorado Springs, CO 80906-4738

Phone

(719) 660-6826

Fax

(719) 218-1010

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Constant Care of Colorado Springs, Inc

  • Assisted Living Facility
  • Colorado Springs, CO
  • NPI 1427513076
  NPD Authorized official
• Constant Care of Colorado Springs, Inc

  • Assisted Living Facility
  • Colorado Springs, CO
  • NPI 1023580560
  NPD

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1013495993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 CARDIGAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205348",
            "telephone_number": "719-660-6826",
            "fax_number": "719-218-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WESTMARK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064738",
            "telephone_number": "719-660-6826",
            "fax_number": "719-218-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JEFF",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CO",
            "license": "23U713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "23U713",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Reynolds
• Deborah Reynolds
• Emily Jane Reynolds, NP
• Jakob Reynolds
• James Reynolds, BS
• Jordan Gabrielle Reynolds
• Judith Underhill Reynolds, M.D.
• Karisa E G Reynolds, MS, PAC
• Kaylee Reynolds
• Leah K Reynolds

• Nursing Home Administrator in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nursing Home Administrator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.