Nichole Michelle Reynolds

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2926 S Tex LN
Flagstaff, AZ 86001-9173

Phone

(928) 302-0370

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1497219331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 S TEX LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019173",
            "telephone_number": "928-302-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 S TEX LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019173",
            "telephone_number": "928-302-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "NICHOLE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Body Works Wellness and Physical Therapy, PLLC
• Retail Automation USA LLC
• Revitalize Ketamine Clinic LLC
• Cassandra Jean Reynolds, RD
• Kali Reynolds, BS SLPA
• Melissa Rhodes, LCSW
• Suzanne Michelle Rhodes, MD
• Jeffrey John Rice, M ED
• Scott Rice, OTR/L
• Stephanie Renee Rice, MD

• Athletic Trainer in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.