Individual provider Active NPI

Ryan Reynolds, MD

  • Pediatrics Physician
  • St Petersburg, FL
National Provider Identifier
1982132783
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME146121 Issued in FL
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

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208001126 FL Practitioner - Pediatric Medicine 6305258872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME146121FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Nov 9, 2020 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Nov 9, 2020 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.

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

Verify at the official NPI Registry.