Individual provider Active NPI

Laura H Reynolds, M.D.

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1073958450
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R3312 Issued in KY
Practice address
University of Kentucky
800 Rose St
Lexington, KY 40536-0001
Phone
(859) 323-6021
NPI assigned
Apr 30, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R3312 KY Primary

Addresses

Primary practice location

University of Kentucky
800 Rose St
Lexington, KY 40536-0001

Mailing address

3470 Blazer Pkwy Ste 300
Lexington, KY 40509-1887

Other practice location 1

339 Brookwood Dr
Bowling Green, KY 42101-4210
Phone (800) 545-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215001898 KY Practitioner - Psychiatry 8022399583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3312KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stepworks Recovery Centers LLC CurrentSince Dec 3, 2017 Accepting new patients
Stepworks Recovery Centers LLC CurrentSince Dec 3, 2017 Accepting new patients
Stepworks Recovery Centers LLC Past Accepting new patients

Locations

331 Brookwood Dr
Bowling Green, KY 42101
Phone 8005459031 ext. 4100

1207 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-2107

201 Peterson Dr
Elizabethtown, KY 42701
Phone (270) 765-5900

210 Malabu Dr
Ste 200
Lexington, KY 40502

3825 Marydell Rd
London, KY 40741

151 Coconut Grove Dr
Nicholasville, KY 40356
Phone (606) 305-5411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073958450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY",
            "address_2": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Brookwood Dr",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421014210",
            "country_code": "US",
            "telephone_number": "800-545-9031",
            "fax_number": "270-982-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LAURA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.