Audree Jean Reynolds, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

419649 Issued in TX

Practice address

4875 Maxwell Ave
El Paso, TX 79904-1450

Phone

(915) 533-7057

Fax

(915) 757-1640

NPI assigned

Sep 17, 2006

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1609973221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 RIVERA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052415",
            "telephone_number": "915-533-7057",
            "fax_number": "915-757-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 MAXWELL AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041450",
            "telephone_number": "915-533-7057",
            "fax_number": "915-757-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AUDREE",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "419649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN & FNP LICENSE",
            "identifier": "419649",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103873902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Reyna
• Ricardo Reyna III, M.D.
• Victoria Reyna, LPC
• Anissa Reynaud, OTR/L
• Reynolds Plastic Surgery Center
• Brian W. Reynolds, PHD
• Cassandra Alicia Reynolds
• Erica Reynolds
• John William Reynolds, DDS
• Richard Dale Reynolds, MD

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.