Pete Reyes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61059887 Issued in WA

Practice address

1201 S Proctor St
Tacoma, WA 98405-2047

Phone

(253) 396-5935

Fax

(253) 566-2252

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1134732191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 TACOMA AVE S STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021903",
            "telephone_number": "253-396-5800",
            "fax_number": "253-566-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052047",
            "telephone_number": "253-396-5935",
            "fax_number": "253-566-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PETE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201909762LPN",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "306983",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61059887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rewired Movement Physical Therapy and Performance PLLC
• Christie Reyes
• Maria Florentina Reyes
• Michael Eugene Reyes
• Nancy Michelle Reyes, MSW, LCIASW
• Rhodel R. Reyes
• Robert John Reyes, MD
• Tuesday Rose Reyes
• Vanessa Giselle Reyes
• Megan A Reynolds-Littles

• Licensed Practical Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.