Active NPI
Kathryn H. Reynolds, NP
- Adult Health Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11000231
- Practice address
- 5955 Rand Blvd
Sarasota, FL 34238-5160 - Phone
- (941) 552-7586
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 274572 | MA | |
| Nurse Practitioner | 363L00000X | APRN11000231 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11000231 | FL | Primary |
Addresses
Primary practice location
5955 Rand Blvd
Sarasota, FL 34238-5160
Mailing address
4557 Chinkapin Dr
Sarasota, FL 34232-2475
Phone (413) 281-4390
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419DJ | Other | BCBS | |
| LC400 | Other | FL | MEDICARE |
| 102494600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1131
5741 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-5060
Phone (941) 342-1100
6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (941) 921-8600
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274572 | MA | MD | Geriatric Medicine (Internal Medicine) Physician |
| APRN11000231 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Physicians Unity | Current | Accepting new patients | |
| Living Well Clinic LLC | Current | Accepting new patients | |
| Shriver Clinical Services Corporation | Past | Accepting new patients |
Locations
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
6400 Edgelake Dr
Sarasota, FL 34240
Phone (941) 921-8600
7333 Scotland Way
Ofc
Sarasota, FL 34238
Phone (941) 552-5355
7333 Scotland Way
Sarasota, FL 34238
Phone (941) 552-5262
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Nurse Practitioner
-
- Clinic/Center
- Sarasota, FL
- NPI 1942847256
-
- Internal Medicine Physician
- Wakefield, MA
- NPI 1225014616
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1821241910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4557 CHINKAPIN DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342322475",
"telephone_number": "413-281-4390",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 RAND BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385160",
"telephone_number": "941-552-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KATHRYN",
"middle_name": "H.",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "274572",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11000231",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11000231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "419DJ",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "LC400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102494600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"address_1": "5955 Rand Blvd",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342385160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.