Active NPI
Betty Lou Reynolds, REGISTERED NURSE
- Home Health Agency
- Garland, TX
National Provider Identifier
1871737809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009288
- Practice address
- 310 E. I-30
Suite M106
Garland, TX 75043 - Phone
- (972) 226-1015
- Fax
- (972) 226-1814
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009288 | TX | Primary |
Addresses
Primary practice location
310 E. I-30
Suite M106
Garland, TX 75043
Mailing address
P.O. Box 2663
Rowlett, TX 75030
Phone (972) 226-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178755801 | Medicaid | TX |
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 |
|---|---|---|---|
| 009288 | TX | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1871737809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2663",
"city": "ROWLETT",
"state": "TX",
"postal_code": "75030",
"telephone_number": "972-226-1015",
"fax_number": "972-226-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E. I-30",
"address_2": "SUITE M106",
"city": "GARLAND",
"state": "TX",
"postal_code": "75043",
"telephone_number": "972-226-1015",
"fax_number": "972-226-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "BETTY",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178755801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.