Active NPI
Allison B Reynolds, APRN
- Pediatric Nurse Practitioner
- Louisville, KY
National Provider Identifier
1821766155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 3016451
- Practice address
- 4123 Dutchmans LN Ste 102
Louisville, KY 40207-4718 - Phone
- (502) 559-1670
- NPI assigned
- Sep 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3016451 | KY | |
| Pediatric Nurse Practitioner | 363LP0200X | 3016451 | KY | Primary |
Addresses
Primary practice location
4123 Dutchmans LN Ste 102
Louisville, KY 40207-4718
Mailing address
3623 E Locust Cir
Prospect, KY 40059-9020
Phone (502) 599-1184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016451 | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
3999 Dutchmans Ln
Ste 6FI
Louisville, KY 40207
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
Interoperability endpoints
- aburger73366@direct.nortonhealthcare.org
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.
-
- Pediatric Urology Physician
- Louisville, KY
- NPI 1538700869
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1821766155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 E LOCUST CIR",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599020",
"telephone_number": "502-599-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 DUTCHMANS LN STE 102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074718",
"telephone_number": "502-559-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ALLISON",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "3016451",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3016451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.