Individual provider Active NPI

Shalecia Shuntel Reynolds, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1720942972
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1094520 Issued in TX
Practice address
675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Dec 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1094520 TX Primary

Addresses

Primary practice location

675 Town Square Blvd Ste 200
Garland, TX 75040-2991

Mailing address

675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260115003336 TX Practitioner - Nurse Practitioner 9830676220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidestar Eldercare Neuro-Psychiatric Group - Texas PAGroup PAC ID 1951705730, 13 clinicians

Practice addresses (Care Compare)

631 Lakeview Blvd
New Braunfel, TX 78130-4017
Phone (574) 546-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1094520TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidestar Eldercare Neuro-Psychiatric Group - Texas PA Nurse Practitioner CurrentSince Dec 19, 2025 Accepting new patients

Locations

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

6151 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (817) 292-2288

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

631 Lakeview Blvd
New Braunfels, TX 78130
Phone (830) 500-2435

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": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1720942972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402991",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402991",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHALECIA",
        "middle_name": "SHUNTEL",
        "name_prefix": "Miss",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1094520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.