Individual provider Active NPI

Carmela Reyes, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1295128254
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203727 Issued in GA
Practice address
3338 Peachtree Rd NE
Apt 3602
Atlanta, GA 30326-1473
Phone
(404) 846-1925
Fax
(404) 846-1925
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203727 GA Primary

Addresses

Primary practice location

3338 Peachtree Rd NE
Apt 3602
Atlanta, GA 30326-1473

Mailing address

3338 Peachtree Rd NE
Apt 3602
Atlanta, GA 30326-1473
Phone (404) 846-1925

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
RN203727GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1295128254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 PEACHTREE RD NE",
            "address_2": "APT 3602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261473",
            "telephone_number": "404-846-1925",
            "fax_number": "404-846-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 PEACHTREE RD NE",
            "address_2": "APT 3602",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261473",
            "telephone_number": "404-846-1925",
            "fax_number": "404-846-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARMELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.