Individual provider Active NPI

Vicki S Reynolds, NP

  • Nurse Practitioner
  • Abington, PA
National Provider Identifier
1083632848
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
006712U Issued in PA
Practice address
1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Phone
(215) 481-4200
Fax
(215) 481-9587
NPI assigned
Jul 18, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 006712U PA Primary

Addresses

Primary practice location

1200 Old York Rd
5 Toll
Abington, PA 19001-3720

Mailing address

1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Phone (215) 481-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060213000614 PA Practitioner - Nurse Practitioner 2668487687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006712UPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Aug 15, 2005 Accepting new patients
Abington Memorial Hospital CurrentSince Aug 15, 2005 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1235 Old York Rd
Ste G28
Abington, PA 19001
Phone (215) 481-3500

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

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.

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1083632848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "5 TOLL",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4200",
            "fax_number": "215-481-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "5 TOLL",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4200",
            "fax_number": "215-481-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "VICKI",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "006712U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.