Gabrielle Maureen Reynolds, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG03190022 Issued in FL

Practice address

12755 SW 47TH St
Miramar, FL 33027-6053

Phone

(954) 274-2591

NPI assigned

Mar 9, 2019

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": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1043778947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 SW 47TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276053",
            "telephone_number": "954-274-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 SW 47TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276053",
            "telephone_number": "954-274-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GABRIELLE",
        "middle_name": "MAUREEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "AG03190022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanny Reyes, LCSW
• Michaela Francesca Reyes
• William Reyes, LMHC, CAP
• Galina Reynaldo Bruzon
• Deborah Reynolds, MD
• Mitra Askari Rezaian
• Raffia Riaz, FNP
• Ricardo Buitrago PSYD PA
• Midlaine Richard-Pean, ARNP
• John Wesley Richard III, MD

• Primary Care Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.