NPIMap

Organization Active NPI

Jasima Reynolds

  • Home Health Agency
  • Park City, UT
National Provider Identifier
1699174615
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2012021460 Issued in MO
Legal business name
JASIMA REYNOLDS
Practice address
1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605
Phone
(435) 645-0788
Fax
(435) 645-0792
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Ms. Jasima Reynolds
Title
LPN
Phone
(314) 497-3573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2012021460 MO Primary

Addresses

Primary practice location

1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605

Mailing address

1640 Redstone Center Dr
Suite 200
Park City, UT 84098-7605
Phone (435) 645-0788

Other names 1

  • jasima reynolds Other name

National Provider Directory

National Provider Directory

Locations

1640 Redstone Center Dr
Ste 200
Park City, UT 84098
Phone (435) 645-0788

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1699174615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 REDSTONE CENTER DR",
            "address_2": "SUITE 200",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987605",
            "telephone_number": "435-645-0788",
            "fax_number": "435-645-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 REDSTONE CENTER DR",
            "address_2": "SUITE 200",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987605",
            "telephone_number": "435-645-0788",
            "fax_number": "435-645-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASIMA REYNOLDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JASIMA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "314-497-3573",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "2012021460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jasima reynolds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.