William C Reynolds, A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

783253 Issued in WA

Practice address

194 Sunset Ave
Edmonds, WA 98020-4134

Phone

(425) 776-3348

Fax

(425) 776-3384

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bill C Reynolds Other name

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043334873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18716 92ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202315",
            "telephone_number": "425-776-3348",
            "fax_number": "425-776-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SUNSET AVE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204134",
            "telephone_number": "425-776-3348",
            "fax_number": "425-776-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "A.T.,C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "783253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "REYNOLDS",
            "middle_name": "C",
            "credential": "A.T.,C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.