Individual provider Active NPI

Cheryl Lynn Reynolds, R.N.

  • Licensed Practical Nurse
  • Central Islip, NY
National Provider Identifier
1255562534
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
222376-1 Issued in NY
Practice address
59 Adams Rd
Apt 2F
Central Islip, NY 11722-0438
Phone
(631) 334-8181
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 612552-1 NY
Licensed Practical Nurse 164W00000X 222376-1 NY Primary

Addresses

Primary practice location

59 Adams Rd
Apt 2F
Central Islip, NY 11722-0438

Mailing address

PO Box 1499
Central Islip, NY 11722-0438
Phone (631) 334-8181

Other names 1

  • Ms. Cheryl Lynn Reynolds Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
612552-1NYMDRegistered Nurse
222376-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1255562534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1499",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117220438",
            "telephone_number": "631-334-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ADAMS RD",
            "address_2": "APT 2F",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117220438",
            "telephone_number": "631-334-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612552-1",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "222376-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "REYNOLDS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.