LISA MARIE REYNOLDS APRN BC NPI 1124201165

NPI Information

NPI: 1124201165
Provider Name: LISA MARIE REYNOLDS, APRN, BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1249 15TH ST STE 3000
HUNTINGTON, WV
ZIP 25701
Phone: (304) 691-1000
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Lisa Marie Reynolds, APRN, BC is a family nurse practitioner in Huntington, WV with 17 years of experience. Lisa Marie Reynolds, APRN, BC NPI is 1124201165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2007

The provider's business location address is:

1249 15TH ST STE 3000
HUNTINGTON, WV
ZIP 25701-663
Phone: (304) 691-1000

The NPI 1124201165 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 12/13/2007 and was last updated on 8/22/2022.

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	363LF0000X	Nurse Practitioner	Family	61789	WEST VIRGINIA	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: 4/28/2024

NPI Synchronization or Removal

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