Active NPI
Ryan Reynolds, MD
- Pediatrics Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME146121
- Practice address
- 405 Pasadena Ave S
St Petersburg, FL 33707-2101 - Phone
- (727) 345-2212
- NPI assigned
- May 24, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME146121 | FL | Primary |
Addresses
Primary practice location
405 Pasadena Ave S
St Petersburg, FL 33707-2101
Mailing address
1800 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4222
Phone (727) 865-4288
Other practice location 1
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 250-2506
Other practice location 2
2808 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306
Phone (813) 397-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146121 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Family Health Centers Inc | Current | Accepting new patients | |
| Tampa Family Health Centers, Inc | Current | Accepting new patients | |
| Tampa Family Health Centers, Inc | Current | Accepting new patients | |
| Lori McAuliffe, M.D., P.a. | Pediatrics | Past | Accepting new patients |
Locations
1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300
4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000
2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900
302 W Fletcher Ave
Tampa, FL 33612
5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320
4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240
12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270
3901 S West Shore Blvd
Tampa, FL 33611
Phone (813) 712-1940
7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939
8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930
8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420
2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200
12410 N Nebraska Ave
Tampa, FL 33612
2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000
7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710
6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1255675682
-
- General Practice Physician
- Tampa, FL
- NPI 1831769579
-
- Pediatrics Physician
- Saint Petersburg, FL
- NPI 1447238969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1982132783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044222",
"telephone_number": "727-865-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072101",
"telephone_number": "727-345-2212"
}
],
"practiceLocations": [
{
"address_1": "17 Davis Blvd Ste 308",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063438",
"country_code": "US",
"telephone_number": "813-250-2506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2808 W Dr Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076306",
"country_code": "US",
"telephone_number": "813-397-5300",
"fax_number": "813-738-2016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-24",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME146121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.