KIMBERLY REYNOLDS NNP NPI 1205868411

NPI Information

  • NPI: 1205868411
  • Provider Name: KIMBERLY REYNOLDS, NNP
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 S COULTER ST
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 354-5630

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NPI Details

Kimberly Reynolds, NNP is a neonatal nurse practitioner in Amarillo, TX. Kimberly Reynolds, NNP NPI is 1205868411. 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:

1400 S COULTER ST
AMARILLO, TX
ZIP 79106-786
Phone: (806) 354-5630
Fax: (806) 354-5689

The NPI 1205868411 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 7/7/2006 and was last updated on 6/27/2014.

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
1363L00000XNurse Practitioner502136TEXASNo
2363LN0000XNurse PractitionerNeonatal502136TEXASYes

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
183N045MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2S85703MEDICARE UPIN
3096183103MEDICAIDTEXAS
4200061520 AMEDICAIDOKLAHOMA
555522386MEDICAIDNEW MEXICO
6096183102MEDICAIDTEXAS
7TXB122279MEDICARE PINTEXAS

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: 11/21/2025

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