Lissette Reyes, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9401688 Issued in FL

Practice address

374 SW Kestor Dr
Port Saint Lucie, FL 34953-5515

Phone

(917) 531-3054

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: lissette.reyes@hcahealthcare.com

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1063895159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SW KESTOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535515",
            "telephone_number": "917-531-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 SW KESTOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535515",
            "telephone_number": "917-531-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LISSETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9401688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lissette.reyes@hcahealthcare.com",
            "affiliation": "N",
            "address_1": "374 SW Kestor Dr",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349535515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Resilient Nutrition
• Respiratory Care Providers, Inc.
• Brooke Logsdon Revels, FNP-C
• Revive Detox Center
• Grissel Reyes
• Alyssa Michelle Reynolds, RBT
• Stephanie Michelle Reynolds, M.S.
• Susan Reynolds
• Rez Med Medical Supply LLC
• Reza Ardalan DMD PA

• Registered Nurse in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.