Linda T Reynolds, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-021647 Issued in AL

Practice address

227 Hospital Dr
Jackson, AL 36545-2423

Phone

(251) 246-4446

Fax

(251) 246-5111

NPI assigned

Jul 29, 2005

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, 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 and National Provider Directory roles.

• Imc-Family Medical of Jackson, PC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1750393682
  NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1861492837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "address_2": "227 HOSPITAL DRIVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365450639",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452423",
            "telephone_number": "251-246-4446",
            "fax_number": "251-246-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LINDA",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-021647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID RURAL HEALTH",
            "identifier": "1861492837",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750393682",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700760",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861492837",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541003926",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP #",
            "identifier": "1750393682",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulmonary Associates of Mobile, PC
• Jamal Randall, DPT
• Amber Rankins, PHARMD
• John Thomas Raybon
• Latisha Monique Reid, PHARMD
• Abigail Cooke Richardson, PHARMD
• Jallena Roberts, PHARMD
• Caroline F Russell
• Damien Ray Sager, DPT
• Amy A Shelley

• Nurse Practitioner in Jackson, AL
• Providers in Jackson, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.