Individual provider Active NPI

Andrea Reynolds, AUD

  • Audiologist
  • Lexington, KY
National Provider Identifier
1932371010
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
KY0430 Issued in KY
Practice address
1720 Nicholasville Rd
Suite 500
Lexington, KY 40503-1404
Phone
(859) 278-1114
Fax
(859) 278-3774
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X KY0430 KY Primary

Addresses

Primary practice location

1720 Nicholasville Rd
Suite 500
Lexington, KY 40503-1404

Mailing address

1720 Nicholasville Rd
Suite 500
Lexington, KY 40503-1404
Phone (859) 278-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000180 KY Practitioner - Qualified Audiologist 4082793021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

230 Fountain CT
Suite 230
Lexington, KY 40509-1897
Phone (859) 977-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0430KYMDProfessional Counselor
KY0430KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists PLLC CurrentSince Dec 20, 2010 Accepting new patients
New Lexington Clinic, PSC CurrentSince Dec 31, 2012 Accepting new patients
New Lexington Clinic PSC CurrentSince Dec 31, 2012 Accepting new patients

Locations

279 Kings Daughters Dr
Ste 202
Frankfort, KY 40601
Phone (502) 226-6494

200 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (502) 863-0722

1720 Nicholasville Rd
Ste 500
Lexington, KY 40503
Phone (859) 278-1114

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

230 Fountain Ct
Ste 230
Lexington, KY 40509
Phone (859) 977-5335

1012 Ival James Blvd
Ste B
Richmond, KY 40475
Phone (859) 624-3615

Interoperability endpoints

  • Direct secure messaging: andrea.reynolds.3@13059.direct.athenahealth.com

Organizations & group practices 3

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1932371010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031404",
            "telephone_number": "859-278-1114",
            "fax_number": "859-278-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "SUITE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031404",
            "telephone_number": "859-278-1114",
            "fax_number": "859-278-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ANDREA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "KY0430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.