Tricia Rae Reynolds, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1469A Issued in ID

Practice address

63 W Willowbrook Dr
Meridian, ID 83646-1656

Phone

(208) 888-7877

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1427458322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E DEER POINT CT",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836163973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461656",
            "telephone_number": "208-888-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TRICIA",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romona F Reyes
• Alexander Lawrence Reynolds, D.O.
• Bryanna Mae Reynolds
• Catherine J Reynolds, MD
• Diana Reynolds
• RG Vision Eyecare LLC (Treasure Valley Vision Center)
• Rhett Yeakley DMD, PLLC (Treasure Valley Family Dentistry)
• Suzanne Ricciardi, FNP-C
• Emma Jerine Rice, FNP-C
• Nathan James Richard, PA

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.