Ellen Patricia Reynolds, PCNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F320013-1 Issued in NY

Practice address

52 Harrison St
Johnson City, NY 13790-2120

Phone

(607) 729-1521

NPI assigned

Aug 1, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6285/brand/1/csg/1/fhir/r4

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.

• Family Planning of South Central New York, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Oneonta, NY
  • NPI 1033114004
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1174955090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ESTATES DR",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271054",
            "telephone_number": "607-687-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELLEN",
        "middle_name": "PATRICIA",
        "credential": "PCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F320013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varun V Reddy, M.D.
• Sherri A Reed, RD
• Afzal Ur Rehman, MD, PHD.
• Bethany Reinhard, FNP
• Kaylyn Reyner, OT
• Lacey Jaymes Rezucha, DPT
• Sarah Lynn Richeda, NP
• Richard M Rigotti, MD
• Makayla Rinker
• Brittany Riso, LMSW

• Primary Care Nurse Practitioner in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.