CAROLYN WELTHER REYNOLDS PA-C NPI 1114256682

NPI Information

NPI: 1114256682
Provider Name: CAROLYN WELTHER REYNOLDS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1124 E ELIZABETH ST STE C
FORT COLLINS, CO
ZIP 80524
Phone: (970) 484-0798
Get Directions

Carolyn Welther Reynolds, PA-C is a medical physician assistant in Fort Collins, CO with 15 years of experience. Carolyn Welther Reynolds, PA-C NPI is 1114256682. 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:

1124 E ELIZABETH ST STE C
FORT COLLINS, CO
ZIP 80524-051
Phone: (970) 484-0798
Fax: (970) 482-0679

The NPI 1114256682 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 12/13/2009 and was last updated on 6/20/2023.

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	363A00000X	Physician Assistant		2931	COLORADO	No
2	363AM0700X	Physician Assistant	Medical	2931	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	76954382	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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