Active NPI
Therese Anne Reyes, RN, MSN, APN/CNS
- Continuing Education/Staff Development Registered Nurse
- Joliet, IL
National Provider Identifier
1487902490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Continuing Education/Staff Development Registered Nurse
- License
- 209004696
- Practice address
- 500 Wilcox St
Joliet, IL 60435-6169 - Phone
- (815) 740-3811
- NPI assigned
- Aug 22, 2012
- Last updated
- Aug 22, 2012
- 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 |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 209004696 | IL | Primary |
Addresses
Primary practice location
500 Wilcox St
Joliet, IL 60435-6169
Mailing address
1214 Belleview Ave
Rockdale, IL 60436-2502
Phone (815) 514-8316
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
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004696 | IL | MD | Continuing Education/Staff Development Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of St. Francis | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Francis Health and Wellness Center
- Primary Care Nurse Practitioner
- Joliet, IL
- NPI 1124101308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1487902490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 BELLEVIEW AVE",
"city": "ROCKDALE",
"state": "IL",
"postal_code": "604362502",
"telephone_number": "815-514-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WILCOX ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356169",
"telephone_number": "815-740-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "THERESE",
"middle_name": "ANNE",
"credential": "RN, MSN, APN/CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "IL",
"license": "209004696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Renuka H Bhatt MDSC
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- Alan D. Reuss, P.T.
- Kathy L Reyes, CRNA
- Patrick David Reynolds
- Tyler Rene Reynolds, M.A.ED. ECE.
- Rezin Orthopedic and Sports Medicine, SC (Vital Care Physical Therapy)
- Rezin Orthopedic and Sports Medicine, SC (Vital Care Physical Therapy)
- Rezin Orthopedics and Sports Medicine, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.