Active NPI
Edith A Reynolds, RN
- Psychiatric/Mental Health Registered Nurse
- Georgetown, DE
National Provider Identifier
1538720768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- L1-0017351
- Practice address
- 505 W Market St
Georgetown, DE 19947-2344 - Phone
- (302) 752-1783
- Fax
- (302) 854-0628
- NPI assigned
- Jun 27, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | L1-0017351 | DE | Primary |
Addresses
Primary practice location
505 W Market St
Georgetown, DE 19947-2344
Mailing address
505 W Market St
Georgetown, DE 19947-2344
Phone (302) 752-1783
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0017351 | DE | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1538720768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 W MARKET ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472344",
"telephone_number": "302-752-1783",
"fax_number": "302-854-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W MARKET ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472344",
"telephone_number": "302-752-1783",
"fax_number": "302-854-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "EDITH",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "DE",
"license": "L1-0017351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.