MS. ANDREA MARIE REYNOLDS PNP NPI 1811209695

NPI Information

  • NPI: 1811209695
  • Provider Name: MS. ANDREA MARIE REYNOLDS, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 MAPLE ROAD
    SUITE 100
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 636-5437

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NPI Details

MS. Andrea Marie Reynolds, PNP is a pediatrics nurse practitioner in Williamsville, NY. MS. Andrea Marie Reynolds, PNP NPI is 1811209695. 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:

1800 MAPLE ROAD
SUITE 100
WILLIAMSVILLE, NY
ZIP 14221-749
Phone: (716) 636-5437
Fax: (716) 276-3190

The NPI 1811209695 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 7/8/2010 and was last updated on 10/30/2023.

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
1363LP0200XNurse PractitionerPediatrics382141NEW YORKYes
22080P0203XPediatricsPediatric Critical Care MedicineAPRN9278522FLORIDANo
3363L00000XNurse PractitionerAPRN9278522FLORIDANo
4363LP0200XNurse PractitionerPediatricsARNP9278522FLORIDANo

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
1023348100MEDICAIDFLORIDA

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: 3/30/2025

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