Active NPI
Michaela Christine Reyes, CNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1356595250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R45899
- Practice address
- 3846 Masthead St NE
BLDG. C
Albuquerque, NM 87109-4479 - Phone
- (505) 798-9300
- Fax
- (505) 798-0808
- NPI assigned
- Nov 5, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R45899 | NM | Primary |
Addresses
Primary practice location
3846 Masthead St NE
BLDG. C
Albuquerque, NM 87109-4479
Mailing address
6620 Terra Dolce Ave NW
Albuquerque, NM 87114-1365
Phone (505) 681-8184
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R45899 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinon Perinatal Inc | Past | Accepting new patients | |
| Pinon Perinatal | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1689096190
-
- Maternal & Fetal Medicine Physician
- Albuquerque, NM
- NPI 1093829210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1356595250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 TERRA DOLCE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141365",
"telephone_number": "505-681-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3846 MASTHEAD ST NE",
"address_2": "BLDG. C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-798-9300",
"fax_number": "505-798-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MICHAELA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R45899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.