Krista Reynolds
Physician Assistant in Boston, Massachusetts
1093500167- Practice location
- 55 Fruit Street, Boston, MA 02114-2696
- Phone
- 617-724-4100
- Fax
- —
- Last updated
- November 11, 2026
Krista Reynolds is a Physician Assistant based in Boston, MA. Krista Reynolds practices in Boston, MA. The NPI Number for Krista Reynolds is 1093500167 and holds a License No. PA103182 (MA). The current practice location address for Krista Reynolds is 55 Fruit Street, Boston, MA 02114-2696 and can be reached out via phone at 617-724-4100.
Provider Profile Details
- NPI Number
- 1093500167
- Provider Name
- Krista Reynolds
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fruit Street, Boston, MA 02114-2696
- Phone Number
- 617-724-4100
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2025
- Last Update Date
- November 11, 2026
- Certification Date
- November 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit Street
Boston, MA 02114-2696 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2696
- Phone Number
- 617-724-4100
Provider Business Mailing Address Details
- Address
- 51 Bethany Farms RD
Bethany, CT 06524-3379 - City
- Bethany
- State
- CT
- Zip
- 06524-3379
License Information
- License Number
- PA103182
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Krista Reynolds?
The NPI number of Krista Reynolds is 1093500167. It was assigned on April 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Krista Reynolds?
Krista Reynolds is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA103182.
Where does Krista Reynolds practice?
The practice location is 55 Fruit Street, Boston, MA 02114-2696. The office can be reached at 617-724-4100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093500167 directly on the NPPES registry website.