Active NPI
Nancy Jane Reynolds, MD FACOG
- Obstetrics & Gynecology Physician
- Lakeport, CA
National Provider Identifier
1598844888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G41803
- Practice address
- 5176 Hill Rd East
Sutter Lakeside Hospital Family Medicine Womens
Lakeport, CA 95453 - Phone
- (707) 262-5088
- NPI assigned
- Nov 6, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G41803 | CA | Primary |
Addresses
Primary practice location
5176 Hill Rd East
Sutter Lakeside Hospital Family Medicine Womens
Lakeport, CA 95453
Mailing address
PO Box 2762
Ft Bragg, CA 95437
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G418030 | Medicaid | CA | |
| 00G418030 | Other | BCBS | |
| 7090022 | Other | COMMERCIAL |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1598844888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2762",
"city": "FT BRAGG",
"state": "CA",
"postal_code": "95437",
"fax_number": "707-962-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5176 HILL RD EAST",
"address_2": "SUTTER LAKESIDE HOSPITAL FAMILY MEDICINE WOMENS",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "95453",
"telephone_number": "707-262-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "NANCY",
"middle_name": "JANE",
"credential": "MD FACOG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G41803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G418030",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00G418030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "7090022",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
- Redwood Community Services, Inc.
- Redwood Community Services, Inc.
- Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
- Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
- Renal Treatment Centers California Inc (Lakeport Dialysis Center)
- Yvonne Anne Riba, PA
- Diana Elizabeth Riley, M.P.H., M.S.,P.A.-C.
- Sally A Riley, MFT
- Harvey Ripple, RPH
- Robert C Jolin DC a Chiropractic Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.