Johaness Blaine Reyes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

833755 Issued in NV

Practice address

2625 S Rainbow Blvd Ste C102
Las Vegas, NV 89146-5181

Phone

(702) 600-3721

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By the provider in NPPES

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

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jingle Ching Kavinta PLLCGroup PAC ID 9931529310, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
• Angel's Hope Home Health, Inc. Home health agency, Las Vegas, NV, CCN 297227
• Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jingle Ching Kavinta PLLC

  dba K-Med Health Services

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972119709
  Medicare reassignment Care Compare group NPD

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

• Angel's Hope Home Health

  dba Angel's Hope Home Health,Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1417355256
  Care Compare affiliation
• Care First Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1104014794
  Care Compare affiliation
• Horizon Home Health Care, LLC

  dba Palmeira Home Health

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1932241510
  Care Compare affiliation

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1083434690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 S RAINBOW BLVD STE C102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S RAINBOW BLVD STE C102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465181",
            "telephone_number": "702-600-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOHANESS BLAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imelda Reyes, APRN
• Isabella Reyes
• Jameson Santos Reyes, APRN
• Jeremiah Reyes, PCA
• Jesus Reyes
• John Adrian Noriesta Reyes, PA-C
• John Layacan Reyes, PT
• Jonathon Jacob Reyes
• Jordan Reyes
• Jose Jorge Reyes

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.