Active NPI
Carrie M Reynolds, M.D.
- General Practice Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 60596
- 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
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 |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 182 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1115648-63538 | NY | MD | Surgery Physician |
| 60596 | CT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care Connecticut PLLC | General Practice | Current | Accepting new patients |
| Integrated Wound Care Rhode Island PLLC | General Practice | Current | 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.
-
- General Practice Physician
- Providence, RI
- NPI 1871063891
-
- General Practice Physician
- Southport, CT
- NPI 1649778762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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; Order and Referring.
- 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.