Individual provider Active NPI

Ashley Kimberly Suarez Reyes

  • Athletic Trainer
  • New York, NY
National Provider Identifier
1215676325
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
562217693 Issued in NY
Practice address
118 Villa Ave Yonkers Ny 10704
New York, NY 10704
Phone
(917) 544-8108
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 562217693 NY Primary

Addresses

Primary practice location

118 Villa Ave Yonkers Ny 10704
New York, NY 10704

Mailing address

118 Villa Ave Yonkers Ny 10704
New York, NY 10704
Phone (917) 544-8108

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
562217693NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1215676325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VILLA AVE YONKERS NY 10704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "917-544-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VILLA AVE YONKERS NY 10704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "917-544-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ REYES",
        "first_name": "ASHLEY",
        "middle_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "562217693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.