Active NPI
Jessica Hardee Reynolds, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 104655
- Practice address
- 4420 Lake Boone TRL
Raleigh, NC 27607-7505 - Phone
- (919) 784-3100
- NPI assigned
- Apr 5, 2014
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 104655 | NC | Primary |
| Registered Nurse | 163W00000X | 224005 | NC |
Addresses
Primary practice location
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Mailing address
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616-2880
Phone (919) 873-9533
Other practice location 1
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000
Other practice location 2
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other practice location 3
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5132
Other names 1
- Jessica Blair Hardee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 873-9533
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224005 | NC | MD | Registered Nurse |
| 104655 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Anesthesiology | Current | Accepting new patients |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
dba Cape Fear Valley Bladen County Hospital
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
dba CFV Primary Care-Vineland Family Medicine
- Rural Health Clinic/Center
- Whiteville, NC
- NPI 1821764390
-
dba Cape Fear Valley Anesthesia
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
- NPI 1790784999
Anesthesiology
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1285052324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"address_2": "STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-873-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LAKE BOONE TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077505",
"telephone_number": "919-784-3100"
}
],
"practiceLocations": [
{
"address_1": "800 Tilghman Dr",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283345510",
"country_code": "US",
"telephone_number": "910-892-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5132",
"fax_number": "910-321-6236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JESSICA",
"middle_name": "HARDEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-05",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "104655",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "224005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HARDEE",
"middle_name": "BLAIR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.