Reynolds Audiology LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5862 Issued in MN

Legal business name

REYNOLDS AUDIOLOGY LLC

Practice address

2155 Woodlane Drive
Suite 103
Woodbury, MN 55125-3049

Phone

(651) 888-2445

NPI assigned

Mar 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer R Reynolds, AUD

Title

Owner

Phone

(651) 888-2445

Specialties & licenses 1

Addresses

Other names 1

• Reynolds Audiology & Tinnitus Center Doing business as

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1457711327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WOODLANE DRIVE",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253049",
            "telephone_number": "651-888-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 WOODLANE DRIVE",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253049",
            "telephone_number": "651-888-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-888-2445",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds Audiology & Tinnitus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.