Active NPI
Joslyn Desiree Reyes
- Registered Nurse
- Goodyear, AZ
National Provider Identifier
1205220225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN169907
- Practice address
- 4485 N 152ND Dr
Goodyear, AZ 85395-8386 - Phone
- (623) 256-6408
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN169907 | AZ | Primary |
Addresses
Primary practice location
4485 N 152ND Dr
Goodyear, AZ 85395-8386
Mailing address
4485 N 152ND Dr
Goodyear, AZ 85395-8386
Phone (623) 256-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169907 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1205220225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 N 152ND DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958386",
"telephone_number": "623-256-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 N 152ND DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958386",
"telephone_number": "623-256-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOSLYN",
"middle_name": "DESIREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN169907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.