Active NPI
Lynn M Reynolds Cooley
- Certified Registered Nurse Anesthetist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R23311
- Practice address
- 1000 South Columbia Road
Grand Forks, ND 58206-6002 - Phone
- (701) 780-5000
- NPI assigned
- Jun 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R23311 | ND | |
| Certified Registered Nurse Anesthetist | 367500000X | 100859 | NE | |
| Anesthesiologist Assistant | 367H00000X | R23311 | ND | |
| Certified Registered Nurse Anesthetist | 367500000X | R23311 | ND | Primary |
Addresses
Primary practice location
1000 South Columbia Road
Grand Forks, ND 58206-6002
Mailing address
PO Box 6002
Grand Forks, ND 58206-6002
Phone (701) 780-5000
Other names 1
- Lynn Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R23311 | ND | MD | Registered Nurse |
| 1629 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| Anesthesia Group of Grand Island PC | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Locations
3290 Solutions Ctr
Chicago, IL 60677
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
-
- Emergency Medicine Physician
- Devils Lake, ND
- NPI 1790751170
-
- Family Medicine Physician
- Casselton, ND
- NPI 1114361177
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
-
- Clinic/Center
- Devils Lake, ND
- NPI 1184117293
-
- Critical Access Hospital
- Devils Lake, ND
- NPI 1659343093
-
- Pain Medicine (Anesthesiology) Physician
- Grand Island, NE
- NPI 1346216793
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1215125463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1326083460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582066002",
"telephone_number": "701-780-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SOUTH COLUMBIA ROAD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582066002",
"telephone_number": "701-780-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS COOLEY",
"first_name": "LYNN",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R23311",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "100859",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "ND",
"license": "R23311",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R23311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "REYNOLDS",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.