Active NPI
Amy Elizabeth Reynolds, D.C.
- Chiropractor
- Camas, WA
National Provider Identifier
1679758064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60959665
- Practice address
- 428 NE 4TH Ave
Camas, WA 98607-2128 - Phone
- (360) 834-7300
- NPI assigned
- Jan 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 25265 | OR | |
| Chiropractor | 111N00000X | CH60959665 | WA | Primary |
Addresses
Primary practice location
428 NE 4TH Ave
Camas, WA 98607-2128
Mailing address
428 NE 4TH Ave
Camas, WA 98607-2128
Phone (360) 834-7300
Other practice location 1
3615 Franklin Rd SW
Roanoke, VA 24014-2203
Phone (540) 343-0055
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Camas | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
428 NE 4TH Ave
Camas, WA 98607-2128
Phone (360) 834-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25265 | OR | MD | Chiropractor |
| CH60959665 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Camas, WA
- NPI 1366003022
-
- Chiropractor
- Roanoke, VA
- NPI 1821192451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1679758064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 NE 4TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072128",
"telephone_number": "360-834-7300",
"fax_number": "360-210-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 NE 4TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072128",
"telephone_number": "360-834-7300"
}
],
"practiceLocations": [
{
"address_1": "3615 FRANKLIN RD SW",
"address_purpose": "LOCATION",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142203",
"country_code": "US",
"telephone_number": "540-343-0055",
"fax_number": "540-343-0056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "25265",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60959665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Camas",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Camas",
"address_1": "428 NE 4th Ave",
"city": "Camas",
"state": "WA",
"country_code": "US",
"postal_code": "986072128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.