Individual provider Active NPI

Theresa Reyes, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1346689254
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA14694-NP Issued in OH
Practice address
1144 Dublin Rd
Columbus, OH 43215-1039
Phone
(614) 234-0200
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.359735 OH
Family Nurse Practitioner 363LF0000X COA14694-NP OH Primary

Addresses

Primary practice location

1144 Dublin Rd
Columbus, OH 43215-1039

Mailing address

1144 Dublin Rd
Columbus, OH 43215-1039
Phone (614) 234-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address treyes1141782@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010000697 OH Practitioner - Nurse Practitioner 3577797372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Church Residences Medical HomeGroup PAC ID 7012178171, 7 clinicians

Practice addresses (Care Compare)

5475 Rings Rd
Suite 300
Dublin, OH 43017-7537
Phone (614) 457-6950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.359735OHMDRegistered Nurse
COA14694-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Church Residences Medical Home CurrentSince Nov 15, 2022 Accepting new patients
Heart and Hands Hospice by the Vna LLC Current Accepting new patients
National Church Residences Medical Home CurrentSince Nov 15, 2022 Accepting new patients

Locations

807 Western Ave
Chillicothe, OH 45601
Phone (740) 779-1240

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 233-2142

5475 Rings Rd
Ste 300
Dublin, OH 43017
Phone (614) 451-2151

Interoperability endpoints

  • Direct secure messaging: treyes1141782@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/4416/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1346689254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151039",
            "telephone_number": "614-234-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151039",
            "telephone_number": "614-234-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "THERESA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.359735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA14694-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treyes1141782@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1144 Dublin Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.