Individual provider Active NPI

Taryn Reynolds, APRN FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1457766404
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008701 Issued in KY
Practice address
1900 Bluegrass Ave
Suite 103
Louisville, KY 40215-1144
Phone
(502) 367-4500
Fax
(502) 368-8139
NPI assigned
Jun 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008701 KY Primary

Addresses

Primary practice location

1900 Bluegrass Ave
Suite 103
Louisville, KY 40215-1144

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 367-4500

Other practice location 1

1900 Bluegrass Ave
Suite 103
Louisville, KY 40215-1144
Phone (502) 367-4500

Other identifiers 1

IdentifierTypeStateIssuer
7100305910MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820000799 KY Practitioner - Nurse Practitioner 3577781301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

7926 Preston Hwy
Suite 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008701KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Jun 1, 2024 Accepting new patients
Pinnacle Inpatient Medical Services, PLLC CurrentSince Mar 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

1900 Bluegrass Ave
Ste 103
Louisville, KY 40215

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

4420 Dixie Hwy
Ste 116
Louisville, KY 40216
Phone (502) 449-6400

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

4000 Buechel Bank Rd
Louisville, KY 40225
Phone (502) 452-0777

9523 US Highway 42
Unit 785
Prospect, KY 40059

3909 S Wilson Rd
Radcliff, KY 40160
Phone (270) 351-8976

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: treynolds21034@direct.nortonhealthcare.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1457766404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-367-4500",
            "fax_number": "502-368-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BLUEGRASS AVE",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151144",
            "telephone_number": "502-367-4500",
            "fax_number": "502-368-8139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Bluegrass Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151144",
            "country_code": "US",
            "telephone_number": "502-367-4500",
            "fax_number": "502-368-9820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TARYN",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100305910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.