Bernadette Tolentino Reyes, RN

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

2406 S Pecan Dr
Chandler, AZ 85286-7406

Phone

(480) 696-4874

NPI assigned

Sep 26, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1134736820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S PECAN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867406",
            "telephone_number": "480-696-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S PECAN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867406",
            "telephone_number": "480-696-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BERNADETTE",
        "middle_name": "TOLENTINO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2022-08-12",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nurseberniesadultfamilyhome@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Doctors Order",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Orders, Medication list",
            "address_1": "2406 S Pecan Dr",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852867406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Celina Talea Reyes-Hailey, MD
• Christian Reyes
• Ivy Lopez Reyes
• Keith Brian Reyes, LPC, NCC
• Paulina Reyes
• Brittany Berniece Reynolds, FNP

• Adult Care Home Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.