Active NPI
Judy Lorraine Reynolds, NP
- Family Nurse Practitioner
- Dumfries, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168944
- Practice address
- 700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025 - Phone
- (703) 441-7500
- Fax
- (540) 374-1164
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168944 | VA | Primary |
Addresses
Primary practice location
700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Mailing address
3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Phone (703) 441-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 S Main St
Culpeper, VA 22701-3431
Phone (540) 825-2202
9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Virginia Urgent Care LLC | Current | Accepting new patients | |
| Virginia Urgent Care LLC | Past | Accepting new patients | |
| Medic 1 Clinics, Inc. | Past | Accepting new patients |
Locations
15 S Gateway Dr
Ste 101
Fredericksburg, VA 22406
Phone (540) 368-5603
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890
Interoperability endpoints
- jreynolds@primaryandurgentcare.directbygreenway.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1811009996
-
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1396984514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1154637528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 FETTLER PARK",
"address_2": "DUMFRIES HEALTH CENTER",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-441-7500",
"fax_number": "540-374-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FETTLER PARK",
"address_2": "DUMFRIES HEALTH CENTER",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-441-7500",
"fax_number": "540-374-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JUDY",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.