Eva Reynolds, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2886 Issued in SC

Practice address

1004 Emanuel St
Elgin, SC 29045-8335

Phone

(803) 438-7698

Fax

(803) 438-7563

NPI assigned

Nov 9, 2005

Last updated

Feb 24, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Urology Clinic, Inc.

  • Urology Physician
  • Sumter, SC
  • NPI 1912368457
  Medicare reassignment NPD
• Sentinel Health Partners, PA

  • Surgery Physician
  • Camden, SC
  • NPI 1619185261
  NPD (past)
• St Vincents East

  dba St Vincent's East Family Medicine Clinic

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1336257211
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1306827019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290211259",
            "telephone_number": "803-713-8350",
            "fax_number": "803-713-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 EMANUEL ST",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458335",
            "telephone_number": "803-438-7698",
            "fax_number": "803-438-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EVA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1243",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Propst
• Publix Super Markets, Inc. (Publix Pharmacy #2001)
• Vickie Taylor Pyfrom, R.N./B.S.N.
• Elizabeth Bingham Ramirez, RDN
• Revamped Mental Health
• Jonica D Richardson
• Emily Rebecca Roberts
• Shamira Alejandria Robertson
• RSW Med LLC
• Mikela Salone

• Family Nurse Practitioner in Elgin, SC
• Providers in Elgin, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.