{"npi":"1316099153","type":"NPI-1","status":"active","name":{"display":"Rickey Reynolds MD PHD","other":[],"first":"RICKEY","last":"REYNOLDS","middle":"J","credential":"MD PHD"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":false,"state":"MN","license":"47762"},{"code":"2084N0400X","description":"Neurology","primary":true,"state":"TX","license":"J4474"}]},"addresses":[{"purpose":"LOCATION","street_1":"400 ROSALIND REDFERN GROVER PKWY STE 120","city":"MIDLAND","state":"TX","postal_code":"797015849","country_code":"US","phone":"4322213700","fax":"4326850834"},{"purpose":"MAILING","street_1":"4214 ANDREWS HWY STE 240","city":"MIDLAND","state":"TX","postal_code":"797034817","country_code":"US","phone":"4326866605","fax":"4326822284"}],"license":{"state":"TX","number":"J4474"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1316099153","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"110523000","state":"MN","issuer":null},{"type_code":"05","label":"Medicaid","value":"203416702","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8TL498","state":"TX","issuer":"BCBS TX"},{"type_code":"01","label":"Other","value":"8W6745","state":"TX","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"752616977052","state":"TX","issuer":"TRICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090615000529","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"TX","pac_id":"5193757458"}]},"enumeration_date":"2007-01-18","last_updated":"2023-11-30","_meta":{"source":"NPPES","snapshot_date":"2023-11-30","doc_url":"https://findmynpi.com/api"}}