Active NPI
Eva Judith Reyes, NP
- Women's Health Clinical Nurse Specialist
- Yucca Valley, CA
National Provider Identifier
1376767376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- 16249
- Practice address
- 7180 Mohawk TRL
Yucca Valley, CA 92284-2633 - Phone
- (760) 365-8500
- Fax
- (760) 365-8599
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Clinical Nurse Specialist | 364SW0102X | 16249 | CA | Primary |
Addresses
Primary practice location
7180 Mohawk TRL
Yucca Valley, CA 92284-2633
Mailing address
7180 Mohawk TRL
Yucca Valley, CA 92284-2633
Phone (760) 365-8500
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 |
|---|---|---|---|
| 16249 | CA | MD | Women's Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yucca Family Medical Care, Inc. | Past | Accepting new patients | |
| Yucca Family Medical Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCGCDA
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.
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1386820702
-
- Primary Care Clinic/Center
- Yucca Valley, CA
- NPI 1942640511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1376767376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 MOHAWK TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842633",
"telephone_number": "760-365-8500",
"fax_number": "760-365-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 MOHAWK TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842633",
"telephone_number": "760-365-8500",
"fax_number": "760-365-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "EVA",
"middle_name": "JUDITH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "CA",
"license": "16249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.