Katherine Reynolds

Primary specialty

Social WorkerTaxonomy code 104100000X

License

955-M Issued in AR

Practice address

6210 Dollarway Rd
Suite 4
Pine Bluff, AR 71602-3733

Phone

(870) 247-3588

Fax

(870) 247-2072

NPI assigned

Feb 27, 2012

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

98.66 of 100Reported as group

Quality

87.55

Improvement activities

40

Cost

78.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Brighter Day Ar LLC

  • Specialist
  • Rogers, AR
  • NPI 1750242111

  AR

  Medicare reassignment
• Supportive Psych Care of Arkansas PA

  • Psychiatry Physician
  • Siloam Springs, AR
  • NPI 1437887437

  AR

  Medicare reassignment
• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)
• Uhs of Benton, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Pine Bluff, AR
  • NPI 1699845818
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1093089708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 DOLLARWAY RD",
            "address_2": "SUITE 4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023733",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 DOLLARWAY RD",
            "address_2": "SUITE 4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023733",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "955-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faiz Ur Rehman, MD
• Elizabeth S Reid, LSW ACADC
• Alexander Ashley Rejistre, D.C.
• Remedy Health and Wellness PLLC
• Restaura Arkansas LLC
• Michele L Reynolds, ANP
• Tina Marie Reynolds
• RGD Enterprises Inc
• Cornelia Rhodes, APRN-CNP
• Lisa A Rice, LCSW

• All providers in Pine Bluff, AR
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.