Individual provider Active NPI

Monika Elizabeth Reynolds, MSN, FNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1124509864
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60909299 Issued in WA
Practice address
2216 Cornwall Ave
Bellingham, WA 98225
Phone
(360) 647-1900
Fax
(360) 647-1542
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60909299 WA Primary
Family Nurse Practitioner 363LF0000X 95009122 CA

Addresses

Primary practice location

2216 Cornwall Ave
Bellingham, WA 98225

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1462

Other practice location 1

3550 E Philadelphia St Ste 150
Ontario, CA 91761-2963
Phone (909) 773-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190225002219 WA Practitioner - Nurse Practitioner 5890034532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirstin Curtis Arnp CorpGroup PAC ID 5890974851, 4 clinicians

Practice addresses (Care Compare)

2216 Cornwall Ave
Bellingham, WA 98225-3719
Phone (360) 647-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009122CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kirstin Curtis Arnp Corp Family CurrentSince Oct 19, 2020 Accepting new patients
Wu & Diaz Professional Corp Past Accepting new patients

Locations

2101 Cornwall Ave
Ste 101
Bellingham, WA 98225
Phone (360) 288-4343

2216 Cornwall Ave
Bellingham, WA 98225
Phone (360) 647-1900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1124509864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-1900",
            "fax_number": "360-647-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 E Philadelphia St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917612963",
            "country_code": "US",
            "telephone_number": "909-773-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MONIKA",
        "middle_name": "ELIZABETH",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60909299",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.