Active NPI
Heather Dawn Reynolds, CNM, MSN, FACNM
- Advanced Practice Midwife
- New Haven, CT
National Provider Identifier
1538160221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000042
- Practice address
- 20 York St
Women'S Center TMPB
New Haven, CT 06504-8900 - Phone
- (203) 688-4101
- Fax
- (203) 688-7274
- NPI assigned
- Aug 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000042 | CT | Primary |
Addresses
Primary practice location
20 York St
Women'S Center TMPB
New Haven, CT 06504-8900
Mailing address
53 Sea St
New Haven, CT 06519-2813
Phone (203) 777-3607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004147452 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000042 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1538160221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 SEA ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065192813",
"telephone_number": "203-777-3607",
"fax_number": "203-785-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"address_2": "WOMEN'S CENTER TMPB",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048900",
"telephone_number": "203-688-4101",
"fax_number": "203-688-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "HEATHER",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "CNM, MSN, FACNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004147452",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.