Active NPI
Monnica J Reyes, Dba Gautier Medical Clinic
- Family Nurse Practitioner
- Gautier, MS
National Provider Identifier
1184067084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R852805
- Legal business name
- MONNICA J REYES, DBA GAUTIER MEDICAL CLINIC
- Practice address
- 3300 Ladnier Rd
Gautier, MS 39553-5909 - Phone
- (251) 591-8688
- NPI assigned
- Apr 10, 2013
- Last updated
- Apr 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monnica Reyes, NP
- Title
- Owner
- Phone
- (251) 591-8688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R852805 | MS | Primary |
Addresses
Primary practice location
3300 Ladnier Rd
Gautier, MS 39553-5909
Mailing address
PO Box 174
Gautier, MS 39553-0174
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365552000000",
"number": "1184067084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 174",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395530174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 LADNIER RD",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535909",
"telephone_number": "251-591-8688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONNICA J REYES, DBA GAUTIER MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "MONNICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-591-8688",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R852805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.