Mariam Reynolds

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7905 Ok-66
El Reno, OK 73099

Phone

(405) 264-5577

NPI assigned

Sep 18, 2019

Last updated

Sep 18, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1255981619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11829 SW 18TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 OK-66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-264-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARIAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mreynolds@ccjcok.org",
            "affiliation": "N",
            "address_1": "7905 OK-66",
            "city": "El Reno",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reichert Reichert Optometrists a Professional Corporation
• Joseph A Reichert, OD
• Pamela K Reichert, OD
• Kimberly Ann Reuter, MA, LPC NCC CPCS
• Carmello Reveles Sr.
• Cathy Ann Rhoads, LPN
• Jacqueline Richards
• Nick Richardson
• Charles Riley
• Alejandro Rios de la Garza II

• Case Manager/Care Coordinator in El Reno, OK
• Providers in El Reno, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.