Kelly Reynolds, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

244246 Issued in MA

Practice address

2200 Gar Hwy
Swansea, MA 02777-3935

Phone

(508) 379-9605

Fax

(508) 379-9813

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Gillick Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kreynolds8189@direct.chppoc.masshiway.net

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.

• Swansea Pediatric Associates LLC

  • Pediatrics Physician
  • Swansea, MA
  • NPI 1669506804
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1497952576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GAR HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773935",
            "telephone_number": "508-379-9605",
            "fax_number": "508-379-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GAR HWY",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773935",
            "telephone_number": "508-379-9605",
            "fax_number": "508-379-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "244246",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "232586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GILLICK",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meghan Colleen Rapoza
• Meredith Ellen Mello Rapoza, LMHC
• Ibrahim Rashid
• Paul Andre Raymond, DDS
• Rebecca Rebello, OT
• Traci Rigano
• Mark A. Ringiewicz, M.D.
• Rise Counseling & Wellness
• Taylor Ann Rivers, LAT, ATC
• Riverside Docs, PLLC

• Pediatrics Physician in Swansea, MA
• Providers in Swansea, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.