Active NPI
Karen Ann Reynolds, L.AC., R.N.
- Acupuncturist
- Greenbrae, CA
National Provider Identifier
1588608657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 7821
- Practice address
- 1100 S Eliseo Dr
Greenbrae, CA 94904-2017 - Phone
- (415) 461-3200
- Fax
- (415) 461-3232
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 7821 | CA | Primary |
Addresses
Primary practice location
1100 S Eliseo Dr
Greenbrae, CA 94904-2017
Mailing address
1100 S Eliseo Dr
Greenbrae, CA 94904-2017
Phone (415) 461-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7821 | Other | CA | LICENSE FOR ACUPUNCTURE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588608657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S ELISEO DR",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042017",
"telephone_number": "415-461-3200",
"fax_number": "415-461-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S ELISEO DR",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042017",
"telephone_number": "415-461-3200",
"fax_number": "415-461-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KAREN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.AC., R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "7821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE FOR ACUPUNCTURE",
"identifier": "7821",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.