Jacob Eli Reynolds

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

201 Donaghey Ave
Conway, AR 72035-5003

Phone

(501) 289-1732

NPI assigned

Oct 27, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1477451987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LEWIS LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638945",
            "telephone_number": "501-289-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720355003",
            "telephone_number": "501-289-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JACOB",
        "middle_name": "ELI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Mai Reyes, PA
• Allison Reynolds, LPC
• Anita Lea Reynolds
• Brandi Reynolds, RECOVERY ASSISTANT
• David Michael Reynolds, LPC
• Laiken Armani Reynolds
• Mitchell Reynolds
• Molly Reynolds, LMSW
• Radiah Reynolds
• George Vee Rhode

• Student in an Organized Health Care Education/Training Program in Conway, AR
• Providers in Conway, AR by specialty
• Student in an Organized Health Care Education/Training Program in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.