Active NPI
Jessica Reynolds, R.N.
- Cardiac Rehabilitation Registered Nurse
- Tucson, AZ
National Provider Identifier
1952793663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- RN176400
- Practice address
- 2645 N Walnut Ave
Tucson, AZ 85712-1827 - Phone
- (520) 603-5275
- NPI assigned
- Mar 4, 2015
- 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 |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | RN176400 | AZ | Primary |
Addresses
Primary practice location
2645 N Walnut Ave
Tucson, AZ 85712-1827
Mailing address
2645 N Walnut Ave
Tucson, AZ 85712-1827
Phone (520) 603-5275
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176400 | AZ | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1952793663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N WALNUT AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121827",
"telephone_number": "520-603-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N WALNUT AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121827",
"telephone_number": "520-603-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "AZ",
"license": "RN176400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.