Individual provider Active NPI

Kristy Lee Reynolds, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lima, OH
National Provider Identifier
1700447638
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024794 Issued in OH
Practice address
2338 N West St
Lima, OH 45801-2051
Phone
(567) 242-2313
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 55049 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024794 OH Primary

Addresses

Primary practice location

2338 N West St
Lima, OH 45801-2051

Mailing address

2338 N West St
Lima, OH 45801-2051
Phone (567) 242-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190924002949 OH Practitioner - Nurse Practitioner 0143550715 Reassigns benefits to 3 organizations
I20241029001406 WY Practitioner - Nurse Practitioner 0143550715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Columbus, OH 43212
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024794OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Sep 28, 2023 Accepting new patients
Brightside Health, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Oglethorpe of Middlepoint LLC CurrentSince Aug 8, 2019 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Sep 28, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

7074 Grove Rd
Spring Hill, FL 34609
Phone (352) 540-9335

1747 Olentangy River Rd
Columbus, OH 43212
Phone (614) 233-1559

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

2895 Harding Hwy
Ste D
Lima, OH 45804
Phone (419) 221-2821

2727 Harding Hwy
Lima, OH 45804
Phone (419) 221-2821

17872 Lincoln Hwy
Middle Point, OH 45863
Phone (419) 495-6515

Organizations & group practices 6

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1700447638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012051",
            "telephone_number": "567-242-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012051",
            "telephone_number": "567-242-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KRISTY",
        "middle_name": "LEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "55049",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.