Zachary B Reynolds

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

4691 Petty CT
Scott Afb, IL 62225-6195

Phone

(270) 906-3511

NPI assigned

Oct 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1043787468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 PETTY CT",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4691 PETTY CT",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256195",
            "telephone_number": "270-906-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ZACHARY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lea Raineri, FNP
• Jamie Rand, M.D.
• Leah Safirstein Rankin, D.M.D.
• Christopher Paul Rapp, DDS
• D'Mario Revere, IDMT
• Lawrence Marshall Riddles, MD
• Zachary Aaron Ross, DO
• Kenneth Royal Russell Jr., DPH
• Kimberly Samborn-Juroviesky, ARNP-CNM
• Christopher Schmidt, D.D.S.

• Independent Duty Medical Technicians in Scott Afb, IL
• Providers in Scott Afb, IL by specialty
• Independent Duty Medical Technicians in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.