Savannah Faye Reynolds, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557610 Issued in VA

Practice address

2629 W Andrew Johnson Hwy Ste 210
Morristown, TN 37814-3390

Phone

(423) 405-0990

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holistic Wellness Center

  • Nutrition Chiropractor
  • Morristown, TN
  • NPI 1851098024
  NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1245872522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 LICK FRK",
            "city": "MILLSTONE",
            "state": "KY",
            "postal_code": "418389063",
            "telephone_number": "423-405-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 W ANDREW JOHNSON HWY STE 210",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143390",
            "telephone_number": "423-405-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SAVANNAH",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3338",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0104-557610",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restorative Family Medicine
• Jennifer R. Revis, M.S.
• Madonna Reyes, PT
• Tonya M. Reyes, MSN, FNP
• Jeffrey A Reynolds, PA-C
• Michelle Lee Rice, LCSW
• Leslie Ann Rich, DNP, WHNP
• Logan Andrew Ricker, M.S. CCC-SLP
• Mariah Summer Ricker, DMD
• Ridgecrest Medical LLC

• Chiropractor in Morristown, TN
• Providers in Morristown, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.