Pamela Lynn Reynolds-Klocke

Primary specialty

AudiologistTaxonomy code 231H00000X

License

7959 Issued in MN

Practice address

14050 Nicollet Ave Ste 200
Burnsville, MN 55337-5738

Phone

(952) 303-5895

Fax

(952) 303-6062

NPI assigned

Feb 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Pamela Lynn Reynolds Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Concepts LLCGroup PAC ID 9830469766, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Audiology Concepts, LLC

  • Audiologist
  • Edina, MN
  • NPI 1710413547
  Medicare reassignment Care Compare group NPD
• Audiology Concepts, LLC

  • Audiologist
  • Duluth, MN
  • NPI 1104551712
  NPD
• Audiology Concepts, LLC

  • Audiologist
  • Forest Lake, MN
  • NPI 1710612320
  NPD
• Audiology Concepts, Inc

  • Hearing Aid Equipment
  • Edina, MN
  • NPI 1386819209
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1659511004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354506",
            "telephone_number": "952-831-4222",
            "fax_number": "952-831-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVE STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375738",
            "telephone_number": "952-303-5895",
            "fax_number": "952-303-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-KLOCKE",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "7959",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "REYNOLDS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chad Daniel Renwick, D.C.
• Restorative Care Services LLC
• Resurgence Chiropractic Clinic LLC
• Revive Periodontics and Implants
• Brittany Reye, NTM
• Michael Thomas Reynolds, D.D.S.
• Travis Reynolds, DC
• Eric Rheault
• John D Rhoades, M.D.
• Anna Rice

• Audiologist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.