Individual provider Active NPI

Marie Carol Reyes, NP

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1114193620
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001017 Issued in NV
Practice address
525 Marks St
Henderson, NV 89014
Phone
(702) 383-6210
Fax
(702) 435-7050
NPI assigned
May 5, 2008
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN001017 NV
Nurse Practitioner 363L00000X APRN001017 NV Primary

Addresses

Primary practice location

525 Marks St
Henderson, NV 89014

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2000

Other practice location 1

7424 S Rainbow Blvd Ste A
Las Vegas, NV 89139-6309
Phone (702) 464-3214

Other identifiers 1

IdentifierTypeStateIssuer
1114193620MedicaidNV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110329000298 NV Practitioner - Nurse Practitioner 0941483994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

525 Marks St
Henderson, NV 89014-6654
Phone (702) 383-6210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001017NVMDNurse Practitioner
APN001017NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2023 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 27, 2023 Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

Interoperability endpoints

  • Direct secure messaging: mreyes123321@direct.umcsn.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1114193620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MARKS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-383-6210",
            "fax_number": "702-435-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 S Rainbow Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891396309",
            "country_code": "US",
            "telephone_number": "702-464-3214",
            "fax_number": "702-464-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARIE CAROL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-11-02",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114193620",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.