Victoria R Reynolds, CPNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1340 Issued in SC

Practice address

1000 Pine Street
Varnville, SC 29944-0969

Phone

(803) 943-5228

Fax

(803) 943-4591

NPI assigned

Jul 22, 2005

Last updated

Jun 24, 2010By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Medical University of South Carolina College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaufort Jasper Hampton Comprehensive Health Services IncGroup PAC ID 5597675728, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Walterboro, SC, CCN 427856
• Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
• Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072
• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Allendale County Hospital Hospital, Fairfax, SC, CCN 421300

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

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

• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  dba BJHCHS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment Care Compare group NPD
• Beaufort County Memorial Hospital

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1598713117
  Medicare reassignment NPD
• Beaufort County Memorial Hospital

  dba Beaufort Memorial Emergency Medicine Physicians

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  Medicare reassignment NPD
• Beaufort County Memorial Hospital

  • Rural Health Clinic/Center
  • Varnville, SC
  • NPI 1033175344
  NPD
• Beaufort Jasper Hampton Comprehensive Health Services, Inc

  dba Varnville Medical Center

  • Federally Qualified Health Center (FQHC)
  • Varnville, SC
  • NPI 1073318259
  NPD
• Beaufort-Jasper-Hampton Comprehensive Health Service Inc

  dba Chelsea Health Center Pharmacy

  • Community/Retail Pharmacy
  • Okatie, SC
  • NPI 1578607248
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allendale County Hospital Board

  dba Allendale County Hospital

  • General Acute Care Hospital
  • Fairfax, SC
  • NPI 1609866912
  Care Compare affiliation
• Amedisys SC, LLC

  dba Amedisys Home Health of Charleston East

  • Home Health Agency
  • Charleston, SC
  • NPI 1447218748
  Care Compare affiliation
• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• Capital Care Resources of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Walterboro, SC
  • NPI 1407221401
  Care Compare affiliation
• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949
  Care Compare affiliation

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1144220971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE STREET",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299440969",
            "telephone_number": "803-943-5228",
            "fax_number": "803-943-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE STREET",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299440969",
            "telephone_number": "803-943-5228",
            "fax_number": "803-943-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "VICTORIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0365",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC013",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID",
            "identifier": "570669239",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Healing Hands LLC
• Heather Troutman Owens, FNP-C
• Brenda L Poalillo, APRN
• Catherine Renee Pritchard, NP
• Antony M Rea, DC
• Roper Saint Francis Physicians Network (Steven Akman, MD)
• Roper Saint Francis Physicians Network (Lowcountry Hematology and Oncology)
• Hope Rozier-Bryant, CCC/SLP
• Teletha Ruth
• Willie James Sauls Jr., DDS

• Family Nurse Practitioner in Varnville, SC
• Providers in Varnville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.