Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Diane Reynolds

Individual provider Family Nurse Practitioner · NPI 1396926945

Lisa Diane Reynolds is a Nurse Practitioner in Lubbock, Texas. Qualified in 2007, 19 years ago. Practices with Texas Tech University Health Sciences Center - Son - Lubbock, a 30-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

301 40th St
Lubbock, TX 79404-2746
Phone: (806) 743-9355
Fax: (806) 743-9363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP117413 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 658247 (TX)

Record details

NPI number1396926945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2007
Last updated in NPPESDecember 14, 2019
Certification dateDecember 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Texas Tech University Health Sciences Center - Son - Lubbock — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lubbock