Active NPI
Kim C Reynolds, MAT, LAT, ATC
- Athletic Trainer
- Mission, TX
National Provider Identifier
1427296383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1572
- Practice address
- 1101 W Griffin Pkwy
Mission, TX 78572-2220 - Phone
- (956) 323-3600
- NPI assigned
- Jan 30, 2009
- Last updated
- Oct 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT1572 | TX | Primary |
Addresses
Primary practice location
1101 W Griffin Pkwy
Mission, TX 78572-2220
Mailing address
2025 Pelican Ave
McAllen, TX 78504-3863
Phone (956) 655-7981
Other practice location 1
700 E 2 Mile Line Rd
Mission, TX 78574-1759
Phone (956) 323-3064 ext. 3028
Other practice location 2
521 S Los Ebanos Blvd
Alton, TX 78573-1521
Phone (956) 323-5000
Other names 1
- Ms. Kimberly C Reynolds
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1572 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1427296383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 PELICAN AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043863",
"telephone_number": "956-655-7981",
"fax_number": "956-323-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W GRIFFIN PKWY",
"city": "MISSION",
"state": "TX",
"postal_code": "785722220",
"telephone_number": "956-323-3600"
}
],
"practiceLocations": [
{
"address_1": "700 E 2 Mile Line Rd",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "TX",
"postal_code": "785741759",
"country_code": "US",
"telephone_number": "956-323-3064 x3028",
"fax_number": "956-323-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "521 S Los Ebanos Blvd",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "TX",
"postal_code": "785731521",
"country_code": "US",
"telephone_number": "956-323-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KIM",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "REYNOLDS",
"middle_name": "C",
"prefix": "MS.",
"credential": "MAT, ATC, LAT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.