Individual provider Active NPI

Teresa Lynn Reynolds

  • Case Manager/Care Coordinator
  • Springdale, AR
National Provider Identifier
1093217838
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1967 Chapman Ave
Springdale, AR 72762-6135
Phone
(479) 750-8862
NPI assigned
Mar 7, 2018
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
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1967 Chapman Ave
Springdale, AR 72762-6135

Mailing address

3715 N Business Dr Ste 104
Fayetteville, AR 72703-5287
Phone (479) 521-1532

Other practice location 1

3511 Silent Grove Rd
Springdale, AR 72762-7913
Phone (479) 750-8775

Other practice location 2

1701 S 40th St
Springdale, AR 72762-5903
Phone (479) 750-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093217838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035287",
            "telephone_number": "479-521-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 CHAPMAN AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626135",
            "telephone_number": "479-750-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 Silent Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727627913",
            "country_code": "US",
            "telephone_number": "479-750-8775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S 40th St",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727625903",
            "country_code": "US",
            "telephone_number": "479-750-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.