Individual provider Active NPI

Jaime L Reynolds, FNP-C

  • Family Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1477382489
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
REYN-4FO1U Issued in NC
Practice address
1188 Skyland Dr
Sylva, NC 28779-8002
Phone
(828) 339-2273
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 REYN-4FO1U NC Primary

Addresses

Primary practice location

1188 Skyland Dr
Sylva, NC 28779-8002

Mailing address

1188 Skyland Dr
Sylva, NC 28779-8002
Phone (828) 339-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240911002982 NC Practitioner - Nurse Practitioner 9436699857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Medical Associates, PLLCGroup PAC ID 4587095849, 11 clinicians

Practice addresses (Care Compare)

1188 Skyland Dr
Sylva, NC 28779-8002
Phone (828) 339-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
REYN-4FO1UNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Medical Associates, PLLC Family CurrentSince Sep 1, 2024 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. PastSince Aug 4, 2024 Accepting new patients

Locations

1188 Skyland Dr
Sylva, NC 28779
Phone (828) 339-2273

Interoperability endpoints

  • Direct secure messaging: jaime.reynolds.1@20263.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1477382489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 SKYLAND DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798002",
            "telephone_number": "828-339-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 SKYLAND DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798002",
            "telephone_number": "828-339-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "REYN-4FO1U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.