Susan S. Reynolds, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TP000398A Issued in PA

Practice address

220 Wilson St
Ste 109
Carlisle, PA 17013-3697

Phone

(717) 249-1929

Fax

(717) 249-9332

NPI assigned

Jul 3, 2006

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

Other identifiers 1

Other names 1

• Susan S. Herman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1255360871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "STE 109",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "STE 109",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP000398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE NUMBER",
            "identifier": "TP000398A",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HERMAN",
            "middle_name": "S.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Nicole Rempel, RD
• Renewed Home Care LLC
• Kristen Rensvold, PTA
• Christa Restifo
• Nichole Jennifer Reynolds, SLP
• Stephanie Rhoades, COTA/L
• Danielle Rhoads, DPT
• Laura Rhoads
• Jenna Lynn Rhodes
• Donald Aaron Rich, BCBA

• Adult Health Nurse Practitioner in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.