Tanya E Reynolds, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F06180058 Issued in VA

Practice address

100 East St SE Ste 301
Vienna, VA 22180-4800

Phone

(703) 938-5555

NPI assigned

Jun 7, 2018

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Youth for Tomorrow New Life Center IncGroup PAC ID 1951673227, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Youth for Tomorrow New Life Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Bristow, VA
  • NPI 1316118292
  Medicare reassignment Care Compare group NPD
• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774
  Medicare reassignment NPD
• Advanced Pediatrics PLLC

  • Pediatrics Physician
  • Vienna, VA
  • NPI 1962686865
  NPD (past)
• Commonwealth Emergency Physicians PC

  • Physician Assistant
  • Leesburg, VA
  • NPI 1366061574
  NPD (past)
• Tandem Telehealth Medical Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henrico, VA
  • NPI 1790465938
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821581588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12167 OPEN MEADOW LN",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362414",
            "telephone_number": "703-201-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST ST SE STE 301",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804800",
            "telephone_number": "703-938-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TANYA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F06180058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "F06180058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reston Hospital Center LLC (Tyson's Corner FSED)
• Brianna Chloe Reyes
• Lisa Dawn Reynolds, FNP
• Louise D Reynolds, MD
• Ryan Reynolds, MA, BCBA, LBA
• Steven Rhee, L.AC., DIPL.AC.
• Maria Carpenter Ribeiro, PA
• Olivia Rice, RBT
• Richard J. Dellork, DDS
• Kristopher Rickman

• Psychiatric/Mental Health Nurse Practitioner in Vienna, VA
• Providers in Vienna, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.