# SARA JEAN REYNOLDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699713784
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 42-0008018 | VT | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 07/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01342901 | — | NY |
| 01 | — | 042.0008018 | LICENSE | VT |
| 05 | — | 1003556 | — | VT |
| 01 | — | 11415 | MOHAWK VALLEY HEALTH PLAN | — |
| 01 | — | 2112406 | VERMONT BLUE CROSS BLUE S | VT |
| 01 | — | 5082448 | AETNA | VT |