Individual provider Active NPI

Carrie M Reynolds, M.D.

  • General Practice Physician
  • Providence, RI
National Provider Identifier
1336571843
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
60596 Issued in CT
Practice address
50 Maude St
Providence, RI 02908-4325
Phone
(212) 734-6621
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 60596 CT Primary
Surgery Physician 208600000X 1115648-63538 NY

Addresses

Primary practice location

50 Maude St
Providence, RI 02908-4325

Mailing address

5 Scenic View Dr
Waterford, CT 06385-1138

Other practice location 1

5 Scenic View Dr
Waterford, CT 06385
Phone (860) 394-7416

Other practice location 2

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121001853 RI Practitioner - General Practice 8325282551 Reassigns benefits to 1 organization
I20191121001860 CT Practitioner - General Practice 8325282551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Rhode Island PLLCGroup PAC ID 2668712928, 4 clinicians
Integrated Wound Care Connecticut, PLLCGroup PAC ID 0042572893, 4 clinicians

Practice addresses (Care Compare)

50 Maude St
Providence, RI 02908-4325
Phone (718) 705-6010

930 Mill Hill Ter
Southport, CT 06890-1265
Phone (718) 705-6010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue182
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1115648-63538NYMDSurgery Physician
60596CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Connecticut PLLC General Practice CurrentSince Sep 29, 2019 Accepting new patients
Integrated Wound Care Rhode Island PLLC General Practice CurrentSince Sep 29, 2019 Accepting new patients

Locations

930 Mill Hill Ter
Southport, CT 06890
Phone (203) 259-7894

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1336571843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SCENIC VIEW DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "212-734-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Scenic View Dr",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "06385",
            "country_code": "US",
            "telephone_number": "860-394-7416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CARRIE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "60596",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1115648-63538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.