Individual provider Active NPI

Kristina Reynolds, CNM, RN

  • Advanced Practice Midwife
  • Burlington, VT
National Provider Identifier
1790378818
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
101.0134717 Issued in VT
Practice address
617 Riverside Ave
Burlington, VT 05401-1601
Phone
(802) 864-6309
Fax
(802) 860-4324
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 101.0134717 VT Primary

Addresses

Primary practice location

617 Riverside Ave
Burlington, VT 05401-1601

Mailing address

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 264-8193

Other practice location 1

52 Community Ln
South Hero, VT 05486-4418
Phone (802) 372-5132

Other practice location 2

368 Dorset St Ste 1
South Burlington, VT 05403-6236
Phone (802) 860-7070

Other practice location 3

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Other practice location 4

179 Pearl St
Burlington, VT 05401-3704
Phone (802) 652-1080

Other practice location 5

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Other practice location 6

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 864-6309

Other practice location 7

184 S Winooski Ave
Burlington, VT 05401-4535
Phone (802) 860-4310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309002348 PA Practitioner - Certified Nurse Midwife (CNM) 9830505288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Burlington IncGroup PAC ID 2062491251, shared by 5 NPIs, 84 clinicians

Practice addresses (Care Compare)

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0134717VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Apr 19, 2021 Accepting new patients
Geisinger Clinic CurrentSince Apr 19, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients

Locations

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

425 E 1st St
Ste 101
Bloomsburg, PA 17815
Phone (570) 387-2372

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: kristina.reynolds.p1@direct.chcb.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1790378818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523234",
            "telephone_number": "802-264-8193",
            "fax_number": "802-860-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Community Ln",
            "address_purpose": "LOCATION",
            "city": "South Hero",
            "state": "VT",
            "postal_code": "054864418",
            "country_code": "US",
            "telephone_number": "802-372-5132",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Dorset St Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036236",
            "country_code": "US",
            "telephone_number": "802-860-7070",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Malletts Bay Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054041960",
            "country_code": "US",
            "telephone_number": "802-655-4422",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054013704",
            "country_code": "US",
            "telephone_number": "802-652-1080",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-864-0693",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 MAIN ST",
            "address_purpose": "LOCATION",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523234",
            "country_code": "US",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 S Winooski Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014535",
            "country_code": "US",
            "telephone_number": "802-860-4310",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KRISTINA",
        "credential": "CNM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "101.0134717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.