Active NPI
Fredy Reyes
- Nurse's Aide
- Washington, DC
National Provider Identifier
1083289763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA0000605862
- Practice address
- 5924 16TH St NW
Washington, DC 20011-2862 - Phone
- (202) 560-0555
- NPI assigned
- May 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA0000605862 | DC | Primary |
| Intermediate Emergency Medical Technician | 146M00000X | E3131816 | DC |
Addresses
Primary practice location
5924 16TH St NW
Washington, DC 20011-2862
Mailing address
8110 Button Bush CT
Clinton, MD 20735-3349
Phone (202) 560-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3131816 | DC | MD | Intermediate Emergency Medical Technician |
| NA0000605862 | DC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1083289763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 BUTTON BUSH CT",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353349",
"telephone_number": "202-560-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 16TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112862",
"telephone_number": "202-560-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "FREDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA0000605862",
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "DC",
"license": "E3131816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.