Active NPI
Jo Yvette Reyes, NP
- Family Nurse Practitioner
- Lakewood, CA
National Provider Identifier
1265847685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21155
- Practice address
- 6042 Adenmoor Ave
Lakewood, CA 90713-1006 - Phone
- (562) 221-4492
- NPI assigned
- Jun 24, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21155 | CA | Primary |
Addresses
Primary practice location
6042 Adenmoor Ave
Lakewood, CA 90713-1006
Mailing address
6042 Adenmoor Ave
Lakewood, CA 90713-1006
Phone (562) 221-4492
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21155 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1265847685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6042 ADENMOOR AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131006",
"telephone_number": "562-221-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6042 ADENMOOR AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131006",
"telephone_number": "562-221-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JO YVETTE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.