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MR. BOBBY DEAN REYNOLDS II FNP
NPI 1356455174
Nurse Practitioner - Family in Elizabethton, TN

Active since August 18, 2006
1503 W ELK AVE, ELIZABETHTON, TN 37643(423) 543-6660(423) 543-5133 Get Directions Write a Review

NPPES record last updated: January 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bobby Dean Reynolds Ii Fnp NPPES

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

MR. BOBBY DEAN REYNOLDS II FNP (NPI 1356455174) is an individual family provider in Elizabethton, Tennessee, licensed in Tennessee (APN0000007649) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1356455174
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BOBBY DEAN REYNOLDS IICredential: FNP
Location Address1503 W ELK AVEElizabethton, TN 37643-2876
Mailing Address1503 W Elk AveElizabethton, TN 37643-2876 · (423) 543-6660 · Fax (423) 543-5133
Phone(423) 543-6660
Fax(423) 543-5133
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 4, 2013
✔ NPI 1356455174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000007649
1503 W ELK AVE, Elizabethton, TN 37643
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Other Identifiers 3

Medicaid1509464TN
Other1509464TN · Medicare
Other4330448TN · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 9

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

MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC
Internal Medicine
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Carter County (423) 542-0400
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Carter County (423) 543-8619
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
1503 W ELK AVE, SUITE 3B
ELIZABETHTON, TN 37643
Carter County (423) 543-7168
TAMMY L KITCHENS M.D.
Pediatrics
1503 W ELK AVE, SUITE 12
ELIZABETHTON, TN 37643
Carter County (423) 547-9400
VIVIAN M CLARK M.D.
Internal Medicine
1503 W ELK AVE, SUITE 5
ELIZABETHTON, TN 37643
Carter County (423) 542-0400
JONATHAN SCOTT BREMER M.D.
Internal Medicine
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Carter County (423) 542-0400
DR. SCOTT O CAUDLE MD
General Practice
1503 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Carter County (423) 543-8619
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Orthopaedic Surgery
1503 W ELK AVE, SUITE 3
ELIZABETHTON, TN 37643
Carter County (423) 542-3806

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 Bobby Reynolds's NPI number?

The NPI number for Bobby Reynolds is 1356455174. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Bobby Reynolds located?

Bobby Reynolds practices at 1503 W Elk Ave, Elizabethton, TN 37643. The listed phone number is (423) 543-6660.

What is Bobby Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bobby Reynolds was last updated on January 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.