Individual provider Active NPI

Karen Christine Reynolds, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1063748101
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03309 Issued in AR
Practice address
Vantage Point Behavioral Health
4253 Crossover Road
Fayetteville, AR 72703
Phone
(479) 310-8197
NPI assigned
Oct 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03309 AR Primary

Addresses

Primary practice location

Vantage Point Behavioral Health
4253 Crossover Road
Fayetteville, AR 72703

Mailing address

847 Kensington CV
Springdale, AR 72762-6286

Other identifiers 2

IdentifierTypeStateIssuer
2009998826OtherAMERICAN NURSES CREDENTIALING CENTER
A03309OtherARARKANSAS STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000235 AR Practitioner - Nurse Practitioner 8527107663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aprn Medical LLCGroup PAC ID 5890041909, 2 clinicians

Practice addresses (Care Compare)

19918 Davis Ford Rd
Springdale, AR 72764-7933
Phone (479) 409-3770

4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03309ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Behavioral Associates, L.C. CurrentSince Jan 20, 2021 Accepting new patients
Optimal Pain and Wellness CurrentSince Jun 1, 2019 Accepting new patients
Aprn Medical LLC CurrentSince Sep 10, 2023 Accepting new patients
Texarkana Behavioral Associates, L.C. Current Accepting new patients
Optimal Pain and Wellness CurrentSince Jun 1, 2019 Accepting new patients

Locations

815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740

909 SE 28th St
Ste 5
Bentonville, AR 72712
Phone (479) 273-3376

4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496

1708 E Joyce Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 301-2565

Interoperability endpoints

  • Direct secure messaging: karen.reynolds@4085.securemail.prognocis.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a05aad53-87be-4c79-8f53-c66bebc6e96c/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1063748101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 KENSINGTON CV",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VANTAGE POINT BEHAVIORAL HEALTH",
            "address_2": "4253 CROSSOVER ROAD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-310-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KAREN",
        "middle_name": "CHRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-24",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2009998826",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "A03309",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.