Individual provider Active NPI

Twila Kay Reider, FNP-C

  • Family Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1023782083
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64616 Issued in NM
Practice address
127 Sandoval Rd SW
Los Lunas, NM 87031-7320
Phone
(505) 865-3373
Fax
(505) 865-2078
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 64616 NM Primary

Addresses

Primary practice location

127 Sandoval Rd SW
Los Lunas, NM 87031-7320

Mailing address

127 Sandoval Rd SW
Los Lunas, NM 87031-7320
Phone (505) 865-3373

Other practice location 1

420 N Main St
Belen, NM 87002-3718
Phone (505) 861-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001601 NM Practitioner - Nurse Practitioner 2860899911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke City Urgent CareGroup PAC ID 3173848058, 35 clinicians

Practice addresses (Care Compare)

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 814-1995

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NM LLC CurrentSince Jun 4, 2024 Accepting new patients
Duke City Urgent Care CurrentSince Dec 15, 2024 Accepting new patients
McLeod Medical Centers of NM, Inc. Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

801 Encino Pl NE
Ste C12
Albuquerque, NM 87102
Phone (505) 247-4849

Interoperability endpoints

  • Direct secure messaging: twila.reiderfnpc.p3@direct.cvr.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1023782083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SANDOVAL RD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317320",
            "telephone_number": "505-865-3373",
            "fax_number": "505-865-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SANDOVAL RD SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317320",
            "telephone_number": "505-865-3373",
            "fax_number": "505-865-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Main St",
            "address_purpose": "LOCATION",
            "city": "Belen",
            "state": "NM",
            "postal_code": "870023718",
            "country_code": "US",
            "telephone_number": "505-861-0060",
            "fax_number": "505-217-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIDER",
        "first_name": "TWILA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.