Sara Ann Reynolds, PMH-NP,BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95012831 Issued in CA

Practice address

55 Santa Clara Ave Ste 200
Oakland, CA 94610-1319

Phone

(888) 588-8595

NPI assigned

Mar 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Santa Barbara County County Auditor

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1487857405
  Medicare reassignment NPD
• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD
• Santa Barbara County Department of Behavioral Wellness

  • Adult Mental Health Clinic/Center
  • Lompoc, CA
  • NPI 1538209184
  NPD
• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Psychiatric/Mental Health

  NPD (past)
• Benefis Hospitals, Inc.

  • Physical Therapist
  • Great Falls, MT
  • NPI 1750530515
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1144462037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WHISPER RIDGE RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017709",
            "telephone_number": "406-314-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101319",
            "telephone_number": "888-588-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "PMH-NP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "27587",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Reyna
• Regan Horner Reyna
• Ruby Reynado
• Nicky Reynicke
• Leslie Jean Reynolds, PA-C
• Theo Reynolds
• Kimberly A. Reynosa, MD
• Maira Reynosa
• Erika Reynoso
• Gladys Reynoso

• Psychiatric/Mental Health Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.