Mark Reynolds, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.279328 Issued in OH

Practice address

205 E Crosier St
Akron, OH 44311-2351

Phone

(330) 535-8181

Fax

(330) 535-9303

NPI assigned

Mar 8, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Summit Psychological Associates, Inc. Jail

  • Psychologist
  • Akron, OH
  • NPI 1912154980
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1104287978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081910",
            "telephone_number": "330-535-8181",
            "fax_number": "330-535-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E CROSIER ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443112351",
            "telephone_number": "330-535-8181",
            "fax_number": "330-535-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.279328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Michelle Revello
• Deanna Revels
• Revitalize Medical Group, LTD
• Imani L Reynolds, CT
• Madalyn Reynolds, RBT
• Rita Reynolds
• Tamika L Reynolds, STNA
• Wendy Reynolds
• Sandra R Rezaei
• Margaret E Rhee, MD

• Registered Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.