Individual provider Active NPI

Paula D Reynolds, R.N.

  • Addiction (Substance Use Disorder) Registered Nurse
  • Scottsboro, AL
National Provider Identifier
1679688188
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
1-031100 Issued in AL
Practice address
508 Gregory St
Scottsboro, AL 35768-4239
Phone
(256) 256-1774
Fax
(256) 259-0761
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-031100 AL
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 1-031100 AL
Psychiatric/Mental Health Registered Nurse 163WP0808X 1-031100 AL
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 1-031100 AL
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 1-031100 AL Primary

Addresses

Primary practice location

508 Gregory St
Scottsboro, AL 35768-4239

Mailing address

3603 Pine Ridge Rd
Scottsboro, AL 35769-6462
Phone (256) 218-3070

Other identifiers 1

IdentifierTypeStateIssuer
51531383OtherALBCBS

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-031100ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall-Jackson Mental Health BD., Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679688188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PINE RIDGE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357696462",
            "telephone_number": "256-218-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GREGORY ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684239",
            "telephone_number": "256-256-1774",
            "fax_number": "256-259-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-031100",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AL",
            "license": "1-031100",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-031100",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AL",
            "license": "1-031100",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1-031100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51531383",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.