Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LISA DAWN REYNOLDS FNP
NPI 1215996277
Nurse Practitioner in Vienna, VA

Q: What is Lisa Reynolds's NPI number?

The NPI number for Lisa Reynolds is 1215996277. It was assigned to this individual provider in the NPPES registry on March 20, 2006. The provider is also known as Miss Lisa Dawn Gregoire.

Q: What is Lisa Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Reynolds was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2006

410 MAPLE AVE WEST, STE 5, VIENNA, VA 22180(703) 938-2244(703) 938-3669 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Lisa Dawn Reynolds Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA DAWN REYNOLDS FNP (NPI 1215996277) is an individual nurse practitioner in Vienna, Virginia, licensed in Virginia (0024164882) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1215996277

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. LISA DAWN REYNOLDSCredential: FNP

Location Address410 MAPLE AVE WEST, STE 5Vienna, VA 22180

Mailing Address10400 Eaton Place, Ste 410Fairfax, VA 22030 · (703) 359-5160 · Fax (703) 383-9574

Phone(703) 938-2244

Fax(703) 938-3669

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1215996277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024164882

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 MAPLE AVE WEST, Vienna, VA 22180

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Other Names 1

Former Name (1)Miss Lisa Dawn Gregoire

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Reynolds's NPI number?

The NPI number for Lisa Reynolds is 1215996277. It was assigned to this individual provider in the NPPES registry on March 20, 2006. The provider is also known as Miss Lisa Dawn Gregoire.

Where is Lisa Reynolds located?

Lisa Reynolds practices at 410 Maple Ave West Ste 5, Vienna, VA 22180. The listed phone number is (703) 938-2244.

What is Lisa Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Reynolds was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.