Active NPI
Sydnee Reynolds
- Contractor
- New Lebanon, OH
National Provider Identifier
1396299806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1065 Dixie Dr
New Lebanon, OH 45345-9746 - Phone
- (937) 474-2311
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
1065 Dixie Dr
New Lebanon, OH 45345-9746
Mailing address
1065 Dixie Dr
New Lebanon, OH 45345-9746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467559179 | Other | OH | PEDIATRIX NEWBORN HEARING SCREEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1396299806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 DIXIE DR",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "453459746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 DIXIE DR",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "453459746",
"telephone_number": "937-474-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "SYDNEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRIX NEWBORN HEARING SCREEN",
"identifier": "1467559179",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Lebanon, OH
- Primary Care Associates of New Lebanon, LLC
- Tabitha Qualls
- Reeds Pharmacy LLC (Reed's Pharmacy)
- Hannah Renick
- Renee Suzanne Reynolds
- Victoria Ridge, PHARMD, RPH
- Rite Aid of Ohio Inc (Rite Aid Pharmacy 00449)
- Molly Rossi, APRN
- Samaritan Family Care Inc (New Lebanon Family Care)
- Brenda Sue Singer, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.