Active NPI
Eileen Kahl Reynolds, MSCCCA
- Audiologist
- Smyrna, DE
National Provider Identifier
1851626758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 020000040
- Practice address
- 82 Monrovia Ave.
Smyrna, DE 19977 - Phone
- (302) 653-8585
- NPI assigned
- Oct 9, 2009
- Last updated
- Oct 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 020000040 | DE | Primary |
Addresses
Primary practice location
82 Monrovia Ave.
Smyrna, DE 19977
Mailing address
82 Monrovia Ave.
Smyrna, DE 19977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020000040 | DE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1851626758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MONROVIA AVE.",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MONROVIA AVE.",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977",
"telephone_number": "302-653-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "EILEEN",
"middle_name": "KAHL",
"name_prefix": "Mrs.",
"credential": "MSCCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "020000040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, DE
- Victor Leroy Ragan
- Rehabilitation Associates, P.a. (Delaware Back Pain & Sports Rehabilitation Centers)
- Adeyinka O. Reid, WHNP
- Althia Rennie
- Results Personal Training & Fitness
- Debra J Rich, PH.D.
- Shea Richardson
- Jada Rider
- Sharon Lynn Rigney, RN, CEN
- Rite Aid of Delaware Inc (Rite Aid Pharmacy 07891)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.