Active NPI
Veronica Linda Reynolds, CWHNP, PHD
- Women's Health Nurse Practitioner
- Fort Stockton, TX
National Provider Identifier
1881633584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 517094
- Practice address
- 700 N Main St
Fort Stockton, TX 79735-5626 - Phone
- (432) 336-8110
- Fax
- (833) 415-1031
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 15, 2022
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 517094 | TX | Primary |
Addresses
Primary practice location
700 N Main St
Fort Stockton, TX 79735-5626
Mailing address
700 N Main St
Fort Stockton, TX 79735-5626
Phone (432) 336-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070862001 | 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)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517094 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cactus Health Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10395/brand/1/csg/1/fhir/r4
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.
-
- Federally Qualified Health Center (FQHC)
- Fort Stockton, TX
- NPI 1881974616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1881633584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N MAIN ST",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797355626",
"telephone_number": "432-336-8110",
"fax_number": "833-415-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N MAIN ST",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797355626",
"telephone_number": "432-336-8110",
"fax_number": "833-415-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "VERONICA",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"credential": "CWHNP, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "517094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070862001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stockton, TX
- Pecos County Memorial Hospital District (Family Care Center Walk in Clinic)
- Pecos County Memorial Hospital District (Pecos County Memorial Hospital Home Health & Hospice)
- Pecos County Memorial Hospital District
- Pecos County Memorial Hospital District
- Pecos County Memorial Hospital District (Family Care Center)
- Elizabeth Ruiz
- Janette M Ruiz
- Rural Dental Care Solutions, PLLC (Children's General Dentistry of Fort Stockton)
- Kathleen Sarabia, FNP
- Alberto Sauceda, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.