Organization Active NPI

Monnica J Reyes, Dba Gautier Medical Clinic

  • Family Nurse Practitioner
  • Gautier, MS
National Provider Identifier
1184067084
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R852805 Issued in MS
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.