CASEY JAY REYNOLDS DNP NP-C NPI 1629551247

NPI Information

NPI: 1629551247
Provider Name: CASEY JAY REYNOLDS, DNP, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5505 S 900 E STE 240
MURRAY, UT
ZIP 84117
Phone: (801) 783-5011
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Casey Jay Reynolds, DNP, NP-C is a family nurse practitioner in Murray, UT with 20 years of experience. Casey Jay Reynolds, DNP, NP-C NPI is 1629551247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5505 S 900 E STE 240
MURRAY, UT
ZIP 84117-210
Phone: (801) 783-5011
Fax: (801) 746-3734

The NPI 1629551247 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 9/10/2018 and was last updated on 3/7/2019.

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	163W00000X	Registered Nurse		4868927-3102	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	4868927-4405	UTAH	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: 5/5/2024

NPI Synchronization or Removal

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