Individual provider Active NPI

Anita Susan Reyes, FNP

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1033697776
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9263558 Issued in FL
Practice address
11327 Okeechobee Blvd
Royal Palm Beach, FL 33411-8724
Phone
(561) 340-1615
NPI assigned
Aug 3, 2018
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 9263558 FL Primary

Addresses

Primary practice location

11327 Okeechobee Blvd
Royal Palm Beach, FL 33411-8724

Mailing address

7931 Olympia Dr
West Palm Beach, FL 33411-5788
Phone (561) 373-2540

Other names 1

  • Anita Carl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190307000291 FL Practitioner - Nurse Practitioner 3577802628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providers Health Alliance, LLCGroup PAC ID 9739462813, 15 clinicians

Practice addresses (Care Compare)

11327 Okeechobee Blvd
Suite 2And3
Royal Palm Beach, FL 33411-8724
Phone (561) 340-1615

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9263558FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC CurrentSince Mar 12, 2020 Accepting new patients
Providers Health Alliance, LLC CurrentSince Nov 15, 2021 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Mar 12, 2020 Accepting new patients
Bethesda Health Physician Group, Inc. CurrentSince Nov 15, 2021 Accepting new patients

Locations

6056 W Boynton Beach Blvd
Ste 115
Boynton Beach, FL 33437
Phone (561) 708-1760

11327 Okeechobee Blvd
Ste 23
Royal Palm Beach, FL 33411
Phone (561) 340-1615

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 882-6214

Interoperability endpoints

  • Direct secure messaging: anita.reyes.1@20004.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1033697776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 OLYMPIA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115788",
            "telephone_number": "561-373-2540",
            "fax_number": "561-855-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11327 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118724",
            "telephone_number": "561-340-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANITA",
        "middle_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9263558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "CARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.