Active NPI
Gina Maureen Reynolds, R.N.
- Case Management Registered Nurse
- Dublin, OH
National Provider Identifier
1023202595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 28111264A
- Practice address
- 5555 Glendon CT
Dublin, OH 43016-3249 - Phone
- (574) 256-7308
- Fax
- (574) 256-7314
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 28111264A | IN | Primary |
| Rehabilitation Registered Nurse | 163WR0400X | 00019239 | OH |
Addresses
Primary practice location
5555 Glendon CT
Dublin, OH 43016-3249
Mailing address
PO Box 1086
Mishawaka, IN 46546-1086
Phone (574) 256-7308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2811264A | Other | IN | INDIANA RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28111264A | IN | MD | Case Management Registered Nurse |
| 00019239 | OH | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1023202595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465461086",
"telephone_number": "574-256-7308",
"fax_number": "574-256-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GLENDON CT",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163249",
"telephone_number": "574-256-7308",
"fax_number": "574-256-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "GINA",
"middle_name": "MAUREEN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "IN",
"license": "28111264A",
"primary": true
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "OH",
"license": "00019239",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA RN LICENSE",
"identifier": "2811264A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.