Individual provider Active NPI

Brittany Berniece Reynolds, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1871004770
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10623 Issued in AZ
Practice address
4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone
(480) 917-3706
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10623 AZ Primary

Addresses

Primary practice location

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732

Mailing address

8245 N 85TH Way
Scottsdale, AZ 85258-4349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180126002190 AZ Practitioner - Nurse Practitioner 9638439342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Social Work Associates LLCGroup PAC ID 3678793460, 7 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85251
Phone 48056845994

Merit-based Incentive Payment System (MIPS)

Final score
18.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Associates LLC CurrentSince Jan 25, 2018 Accepting new patients

Locations

7014 E Camelback Rd
#B10089
Scottsdale, AZ 85251
Phone (480) 568-4599

8245 N 85th Way
Scottsdale, AZ 85258
Phone (314) 415-9415

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1871004770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 N 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W CHANDLER BLVD BLDG F",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-917-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "middle_name": "BERNIECE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.