Nichole Reyes

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1877 Issued in HI

Practice address

1245 Kuala St
Suite 103
Pearl City, HI 96782-3900

Phone

(808) 456-2273

NPI assigned

Jun 22, 2015

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 HI

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

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 and National Provider Directory roles.

• Castle Physician Network

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1043696206
  Medicare reassignment NPD
• Castle Physician Network

  • Urgent Care Clinic/Center
  • Kailua, HI
  • NPI 1043974538
  NPD

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1134501687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST, STE 103",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-456-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST",
            "address_2": "SUITE 103",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-456-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Medical Center
• Jenalyn Ramos
• Tricia Renguul
• Resilience Through Choice LLC
• Jojie Reyes, RN
• Nongkhran Reynolds
• Richard Reynolds
• Christina K Rezentes, LMHC
• Aaron Ricciarelli, IDC
• Ward E Rider, DC

• Adult Health Nurse Practitioner in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Adult Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.