Active NPI
Deirdre Reynolds
- Licensed Practical Nurse
- Fishkill, NY
National Provider Identifier
1093448391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 331840
- Practice address
- 6 Greenhill Dr
Fishkill, NY 12524-1957 - Phone
- (412) 296-0435
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 331840 | NY | Primary |
Addresses
Primary practice location
6 Greenhill Dr
Fishkill, NY 12524-1957
Mailing address
6 Greenhill Dr
Fishkill, NY 12524-1957
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331840 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1093448391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GREENHILL DR",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GREENHILL DR",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241957",
"telephone_number": "412-296-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DEIRDRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "331840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishkill, NY
- Varinder S Rathore, MD
- Meryl J Reichman, MD
- Rosanna Claudia Relyea, RPAC
- Reproductive Medicine Associates at Vassar Brother
- Samantha Resende, DPT, PT
- Sandi B Richy, MS, CFY/SLP
- Rite Aid of New York Inc
- Rachael Rivera, LCSW
- Riverside Physicial & Occupational Therapy Language Pathology, PLLC
- Seema Sami Rizvi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.