Individual provider Active NPI

Marcelys E Perez Reyes

  • Community Health Worker
  • Houston, TX
National Provider Identifier
1205728912
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
10163 Issued in TX
Practice address
8524 Highway 6 N Ste 562
Houston, TX 77095-2103
Phone
(713) 382-9307
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 10163 TX Primary

Addresses

Primary practice location

8524 Highway 6 N Ste 562
Houston, TX 77095-2103

Mailing address

7306 Avenue F
Marcelyseli@Gmail.Com
Houston, TX 77011-7701
Phone (409) 995-8265

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

LicenseStateTypeSpecialty
10163TXMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1205728912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 AVENUE F",
            "address_2": "MARCELYSELI@GMAIL.COM",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770117701",
            "telephone_number": "409-995-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 HIGHWAY 6 N STE 562",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952103",
            "telephone_number": "713-382-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ REYES",
        "first_name": "MARCELYS",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "10163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.