Active NPI
Jezreel Reynolds
- Athletic Trainer
- Alexandria, VA
National Provider Identifier
1639088040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 609 N Jordan St Apt 401
Alexandria, VA 22304-5441 - Phone
- (702) 623-8374
- NPI assigned
- Sep 2, 2026
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
609 N Jordan St Apt 401
Alexandria, VA 22304-5441
Mailing address
609 N Jordan St Apt 401
Alexandria, VA 22304-5441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1639088040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N JORDAN ST APT 401",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223045441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N JORDAN ST APT 401",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223045441",
"telephone_number": "702-623-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JEZREEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Austin Windsor Reynolds, MD
- Cheryl Jeanne Reynolds, NP-C
- Danielle Marie Reynolds
- David B. Reynolds, D.C.
- Donald Floyd Reynolds, D. D. S.
- Russ Reynolds, PH.D.
- Lisa Margaret Rezac, PHYSICIAN ASSISTANT
- Helen W. Reznick, PH.D.
- Wayne Merl Reznick, PHD
- RHC3 Inc. (Atlantic Knee Restoration and Regenerative Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.