Stacy Lynn Reynolds
MD | Pediatric Emergency Medicine | Female
Stacy Lynn Reynolds, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Stacy Lynn Reynolds is
1000 Blythe Blvd, Charlotte, North Carolina - 28203-5812. She can be contacted on phone at
704-355-2171.
Stacy Lynn Reynolds is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacy Lynn Reynolds is
1194910299 which was assigned by NPPES on 11 Sep, 2007 and it was last updated on 04 May, 2023.
Stacy Lynn Reynolds license number is
200800675 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in North Carolina.
Stacy Lynn Reynolds has special qualifications to manage emergencies in infants and children.
Complete Profile:
Stacy Lynn Reynolds basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
|---|
| Provider Name : | Stacy Lynn Reynolds |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Stacy Lynn Reynolds address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1000 Blythe Blvd
Charlotte, NC, 28203-5812
United States |
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| Phone Number : | 704-355-2171 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194910299 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Sep, 2007 |
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| Last Updated On : | 04 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy Lynn Reynolds are as mentioned. Primary taxonomy code for Stacy Lynn Reynolds, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 200800675 | NC |
| 208000000X | Pediatrics | No | 200800675 | NC |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | 200800675 | NC |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sreynolds537508@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1000 Blythe Blvd,
Charlotte, NC, 28203-5812
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
|---|
Business Location:
Patients can refer following map for directions to
Stacy Lynn Reynolds practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.