Active NPI
Cynthia Anne Reynolds, D.C.
- Chiropractor
- Johnson City, TN
National Provider Identifier
1679674980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 201
- Practice address
- 1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097 - Phone
- (423) 282-5223
- Fax
- (423) 282-4479
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 201 | TN | Primary |
Addresses
Primary practice location
1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097
Mailing address
1906 Knob Creek Rd Ste 1
Johnson City, TN 37604-3097
Phone (423) 282-5223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6565607 | Other | TN | CIGNA |
| 0107174 | Other | TN | BC/BS |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Johnson City, TN
- NPI 1194140186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679674980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 KNOB CREEK RD STE 1",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043097",
"telephone_number": "423-282-5223",
"fax_number": "423-282-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 KNOB CREEK RD STE 1",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043097",
"telephone_number": "423-282-5223",
"fax_number": "423-282-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CYNTHIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6565607",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0107174",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
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.