Active NPI
Marllury Y. Reyes, RN
- Community Health Registered Nurse
- Palo Alto, CA
National Provider Identifier
1215352257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 824925
- Practice address
- 270 Grant Ave
Palo Alto, CA 94306-1911 - Phone
- (650) 327-8717
- NPI assigned
- Feb 27, 2014
- Last updated
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 824925 | CA | Primary |
Addresses
Primary practice location
270 Grant Ave
Palo Alto, CA 94306-1911
Mailing address
19 Dockside Dr
Daly City, CA 94014-2815
Phone (650) 756-5446
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824925 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1215352257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DOCKSIDE DR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940142815",
"telephone_number": "650-756-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 GRANT AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061911",
"telephone_number": "650-327-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARLLURY",
"middle_name": "Y.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "824925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.