Whitney L Reynolds, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1284 Issued in TN

Practice address

1215 21St Ave S
Mce 5TH Floor, South Tower, Suite 5209
Nashville, TN 37232-0014

Phone

(615) 322-2318

Fax

(615) 936-1711

NPI assigned

Dec 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1801959259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MCE 5TH FLOOR, SOUTH TOWER, SUITE 5209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-322-2318",
            "fax_number": "615-936-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MCE 5TH FLOOR, SOUTH TOWER, SUITE 5209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-322-2318",
            "fax_number": "615-936-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "WHITNEY",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4167841",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Reynolds
• Sara Brolund Reynolds, DPT
• Sarah Reynolds, RD
• Taylor Reynolds
• Wendy E Reynolds, MSN ACFNPC
• William S Reynolds, M.D., M.P.H.
• Zachary Calvin Reynolds, AG-ACNP
• Amber Reynoso
• Asmait T Rezene, CRNA, DNP
• Julie Rezk, DMD

• Medical Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.