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MR. NATHAN TAYLOR REYNOLDS
NPI 1306594569
Pediatrics - Developmental - Behavioral Pediatrics in Russellville, AR

Active since March 16, 2022
1301 RUSSELL RD, RUSSELLVILLE, AR 72802(479) 967-2322 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nathan Taylor Reynolds NPPES

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

MR. NATHAN TAYLOR REYNOLDS (NPI 1306594569) is an individual developmental - behavioral pediatrics provider in Russellville, Arkansas, licensed in Arkansas (934496277) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1306594569
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameMR. NATHAN TAYLOR REYNOLDS
Location Address1301 RUSSELL RDRussellville, AR 72802-4320
Mailing AddressPo Drawer 2109Russellville, AR 72811 · (479) 967-2322
Phone(479) 967-2322
Sole ProprietorNo
Enumeration DateMarch 16, 2022
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1306594569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in AR · 934496277
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
1301 RUSSELL RD, Russellville, AR 72802
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Other Identifiers 1

Medicaid275004706AR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRANDI NICOLE KOCH PT, DPT
Physical Therapist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2316
MRS. STACY HART M.S. CCC-SLP
Speech-Language Pathologist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2316
MELIA JOHNSGARD
Day Training/Habilitation Specialist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2322
BROOKA LOUISE BYFORD RBT
Behavior Technician
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2322
TIFFANY MEADOWS
Physical Therapist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2316
MRS. SANDRA LYNN BAKER MS OTR/L
Occupational Therapist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2316
KIMBERLY FOUNTAIN
Day Training/Habilitation Specialist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2322
NICOLE ANNE BOVKOON
Occupational Therapist
1301 RUSSELL RD
RUSSELLVILLE, AR 72802
Pope County (479) 967-2316

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 Nathan Reynolds's NPI number?

The NPI number for Nathan Reynolds is 1306594569. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Nathan Reynolds located?

Nathan Reynolds practices at 1301 Russell Rd, Russellville, AR 72802. The listed phone number is (479) 967-2322.

What is Nathan Reynolds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Nathan Reynolds was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.