Active NPI
Kristen Keeling Reynolds, PHD
- Laboratory Management Specialist/Technologist
- Louisville, KY
National Provider Identifier
1861537011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- License
- 200251
- Practice address
- 201 E Jefferson St
Suite 309
Louisville, KY 40202-1246 - Phone
- (502) 569-1584
- Fax
- (502) 569-1586
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | 200251 | KY | Primary |
Addresses
Primary practice location
201 E Jefferson St
Suite 309
Louisville, KY 40202-1246
Mailing address
201 E Jefferson St
Suite 309
Louisville, KY 40202-1246
Phone (502) 569-1584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000531561 | Other | KY | ANTHEM |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200251 | KY | MD | Laboratory Management Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verralab Ja LLC | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1861537011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E JEFFERSON ST",
"address_2": "SUITE 309",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021246",
"telephone_number": "502-569-1584",
"fax_number": "502-569-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E JEFFERSON ST",
"address_2": "SUITE 309",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021246",
"telephone_number": "502-569-1584",
"fax_number": "502-569-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KRISTEN",
"middle_name": "KEELING",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "KY",
"license": "200251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000531561",
"state": "KY"
}
],
"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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.