MS. NICOLE NOELLE REYNOLDS NP NPI 1003048638

NPI Information

NPI: 1003048638
Provider Name: MS. NICOLE NOELLE REYNOLDS, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MSKCC RADIOLOGY GROUP

PECOS Registration: Yes

Address:
1275 YORK AVE
NEW YORK, NY
ZIP 10065
Phone: (212) 682-7326
Get Directions

MS. Nicole Noelle Reynolds, NP is an acute care nurse practitioner in New York, NY with 15 years of experience. MS. Nicole Noelle Reynolds, NP NPI is 1003048638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1275 YORK AVE
NEW YORK, NY
ZIP 10065-007
Phone: (212) 682-7326

The NPI 1003048638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2009 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	F430480-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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