Reba I Eagles, D. O. M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

833 Issued in NM

Practice address

119 San Pasquale Ave SW
Albuquerque, NM 87104-1153

Phone

(505) 604-3434

Fax

(505) 242-2410

NPI assigned

Feb 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Achieve Health & Wellness, LLC

  dba Achieve Health Naturally

  • Clinic/Center
  • Windsor Heights, IA
  • NPI 1508648320
  NPD Authorized official
• Original Medicine Center for Healing

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1942477336
  NPD (past) Authorized official

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194866103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 11TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021808",
            "telephone_number": "505-604-3434",
            "fax_number": "505-242-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SAN PASQUALE AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041153",
            "telephone_number": "505-604-3434",
            "fax_number": "505-242-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLES",
        "first_name": "REBA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D. O. M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Medical Trans, LLC
• Eagle Pointe Dentists and Orthodontics, LLC (Eagle Pointe Dentists and Orthodontics)
• Eagle Rock Therapy LLC
• Kimberly Ann Eagle, LPCC
• Eagles Unlimited
• Madison Eagley
• Selena Aaliyah Eakes
• Leslye M Eamon Padilla, LCSW
• Lori Eanes, DO
• Ear and Hearing Specialist of New Mexico LLC

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.