Leslie Reynolds

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN264695 Issued in CA

Practice address

4077 Menlo Ave Apt 4
San Diego, CA 92105-1945

Phone

(619) 408-4680

Fax

(619) 291-8819

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1497139836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 UNIVERSITY AVE # 639",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042720",
            "telephone_number": "619-408-4680",
            "fax_number": "619-291-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 MENLO AVE APT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051945",
            "telephone_number": "619-408-4680",
            "fax_number": "619-291-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN264695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE NUMBER",
            "identifier": "VN264695",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Lucile Mello Reynolds, LCSW
• Jasmine Reynolds
• Joshua Reynolds
• Kimberly Reynolds, R.N., L.AC.
• Kyra Reynolds
• Leslie Ann Reynolds, NP
• Lorraine Florence Reynolds
• Margaret Ellen Reynolds, R.N.
• Michele Sue Reynolds
• Robert P Reynolds

• Licensed Practical Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.