Kristina Reyes

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

4294 Issued in CA

Practice address

400 Camarillo Ranch Rd Ste 209
Camarillo, CA 93012-5903

Phone

(805) 242-8255

Fax

(805) 512-7158

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A1 Speech Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Camarillo, CA
  • NPI 1033415138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1023542685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD STE 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125903",
            "telephone_number": "805-242-8255",
            "fax_number": "805-512-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD STE 209",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125903",
            "telephone_number": "805-242-8255",
            "fax_number": "805-512-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Reveles
• Roxanna Reyes Arias
• Rosalva Reyes-Castillo, MA
• Antonio Reyes Jr.
• Erika Anyssa Reyes
• Laura Fernanda Reyes
• Mariela Reyes, BCBA
• Shelly Marie Reyes, LVN
• Rachel Lynn Reynolds
• Ryan Reynolds

• Speech-Language Assistant in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.