Elizabeth Maria Reyna

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

238 Brookley Ave SW
Bolling Afb, DC 20032-7704

Phone

(202) 404-5512

NPI assigned

Sep 9, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1114696408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WHEELER BLVD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631544",
            "telephone_number": "484-667-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327704",
            "telephone_number": "202-404-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ELIZABETH",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Onnink, MD
• Eric Joseph Palte, DDS
• Jameka Parker
• Kerry Allison Phelan, O.D.
• David G Ray, PHD
• Darren P. Rhoton, O.D.
• Crystal Jeanette Rolon Aponte, PSYCHOLOGIST AND LPC
• Jarom Lucas Ruby, DO
• Michelle Schuldt, NURSE PRACTITIONER
• Doan Singh

• Independent Duty Medical Technicians in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Independent Duty Medical Technicians in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.