Active NPI
Carrie Anne Reynolds, MD
- Pediatric Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 57505
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- Fax
- (602) 344-5859
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 57505 | AZ | Primary |
| Pediatrics Physician | 208000000X | 57505 | AZ |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
9224 Teddy Ln
Ste. 200
Lone Tree, CO 80124-6798
Phone (303) 790-1515
Other practice location 2
9300 Valley Childrens Pl # Se09
Madera, CA 93636-8761
Phone (559) 353-5745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497985923 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57505 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Memorial Medical Center of West Michigan | Pediatrics | Current | Accepting new patients |
| Spectrum Health United | Current | Accepting new patients | |
| Mecosta County Medical Center | Pediatrics | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Pennock Hospital | Current | Accepting new patients | |
| Spectrum Health United | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Memorial Medical Center of West Michigan | Current | Accepting new patients | |
| Pennock Hospital | Current | Accepting new patients | |
| Mecosta County Medical Center | Current | Accepting new patients | |
| Mecosta County Medical Center | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | Past | Accepting new patients |
Locations
8088 W Whitney Dr
Ste 2A
Peoria, AZ 85345
Phone (833) 855-9973
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
1227 W State St
Belding, MI 48809
Phone (616) 794-0800
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
35 Michigan St NE
Ste 4150
Grand Rapids, MI 49503
Phone (616) 267-2100
1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
Interoperability endpoints
- creynolds17920@valleychildrens-prd.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/
Organizations & group practices 15
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Cardiovascular Disease Physician
- Big Rapids, MI
- NPI 1386693471
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Hospitalist Physician
- Fremont, MI
- NPI 1750404927
-
- Family Medicine Physician
- Hastings, MI
- NPI 1518186295
-
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1043443237
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- Family Medicine Physician
- Ludington, MI
- NPI 1144639360
Pediatrics
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1497985923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011",
"fax_number": "602-344-5859"
}
],
"practiceLocations": [
{
"address_1": "9224 Teddy Ln",
"address_2": "Ste. 200",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801246798",
"country_code": "US",
"telephone_number": "303-790-1515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Valley Childrens Pl # Se09",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936368761",
"country_code": "US",
"telephone_number": "559-353-5745",
"fax_number": "559-353-6093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CARRIE",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AZ",
"license": "57505",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "57505",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497985923",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.