Christy Reynolds

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L2-0012929 Issued in DE

Practice address

1114 S Dupont Hwy
Dover, DE 19901-4401

Phone

(302) 442-6194

NPI assigned

Apr 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1710622154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308",
            "telephone_number": "833-886-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014401",
            "telephone_number": "302-442-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DE",
            "license": "L2-0012929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L2-0012929",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "creynolds2@coraswellness.org",
            "affiliation": "N",
            "address_1": "1114 S DuPont Hwy",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199014401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Restoration of the Mind, LLC
• Dorothy Rettinger, CPC,COBGC
• Michelle M. Reyes, LCSW-C
• Candice Latrice Reynolds, PMHNP-BC, FNP-C
• Christine Marie Reynolds, PT
• Kendall Reynolds
• Michael Joseph Reynolds, DPT
• Olivia A Reynolds
• Rheumatology Center of Delaware, LLC
• Michael Scott Richards, DPT

• Licensed Practical Nurse in Dover, DE
• Providers in Dover, DE by specialty
• Licensed Practical Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.