Individual provider Active NPI

Seyissa Kimberly McReynolds, MSN-NE, DNP, FNP-C

  • Family Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1255241295
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6155 Issued in HI
Practice address
91-1019 Kai Uhu St
Ewa Beach, HI 96706-6266
Phone
(203) 343-6422
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6155 HI Primary

Addresses

Primary practice location

91-1019 Kai Uhu St
Ewa Beach, HI 96706-6266

Mailing address

91-1019 Kai Uhu St
Ewa Beach, HI 96706-6266
Phone (203) 343-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1255241295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1019 KAI UHU ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066266",
            "telephone_number": "203-343-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1019 KAI UHU ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066266",
            "telephone_number": "203-343-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "SEYISSA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MSN-NE, DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.