Eudella K. Reynolds, CASE MANAGER

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5504 S.W. Lee Blvd
Lawton, OK 73505

Phone

(580) 355-5242

NPI assigned

Aug 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comanche County Hospital AuthorityGroup PAC ID 2668373689, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Comanche County Hospital Authority

  • Federally Qualified Health Center (FQHC)
  • Lawton, OK
  • NPI 1588832869
  Medicare reassignment Care Compare group NPD
• Comanche County Hospital Authority

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1427130947
  NPD

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1396853735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 NW AUSTIN DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053210",
            "telephone_number": "405-514-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 S.W. LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-355-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EUDELLA",
        "middle_name": "K.",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resonate LLC
• Jennifer Reyes
• Joreta Reyes
• Reynolds Army Community Hospital
• Devyn Reynolds
• Judith Ann Reynolds, CPNP, MSN
• Phillip Anthony Reza, PRACTICAL NURSE
• Abolghasem Marco Rezaei, MD
• RGH Eye Clinic PLLC
• Carol S Rhodes

• Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.

Verify at the official NPI Registry.