NPIMap

Individual provider Active NPI

Delia M. Reyes, FNP-BC

  • Family Nurse Practitioner
  • Cordova, AK
National Provider Identifier
1497355390
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27947 Issued in TN
Practice address
705 2ND St.
Cordova, AK 99574
Phone
(210) 535-2869
NPI assigned
Oct 29, 2020
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 165874 AK
Family Nurse Practitioner 363LF0000X 27947 TN Primary

Addresses

Primary practice location

705 2ND St.
Cordova, AK 99574

Mailing address

705 2ND St.
Cordova, AK 99574-2290
Phone (907) 424-3622

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DREYES@direct.eyak-nsn.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201230000223 TX Practitioner - Nurse Practitioner 3779996277 Reassigns benefits to 1 organization
I20230417001752 TN Practitioner - Nurse Practitioner 3779996277 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native Village of EyakGroup PAC ID 1052220878, 8 clinicians

Practice addresses (Care Compare)

705 2ND St
Native Village of Eyak Ilanka Com
Cordova, AK 99574-2290
Phone (907) 424-3622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as apm
Quality
84.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
165874AKMDFamily Nurse Practitioner
27947TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Native Village of Eyak CurrentSince Nov 1, 2020 Accepting new patients
Covenant Family Practice, PC CurrentSince Nov 11, 2024 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Jan 2, 2024 Accepting new patients
Theoria Medical CurrentSince Aug 11, 2024 Accepting new patients
Native Village of Eyak CurrentSince Nov 5, 2020 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 14, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 14, 2024 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

198 Old Farmers Rd
Clarksville, TN 37043
Phone (931) 358-2900

1 Veterans Way
Knoxville, TN 37931
Phone (865) 388-0911

919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

Interoperability endpoints

  • Direct secure messaging: delia.reyes.1@18155.direct.athenahealth.com
  • Direct secure messaging: dreyes@direct.eyak-nsn.gov

Organizations & group practices 8

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1497355390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 2ND ST.",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995742290",
            "telephone_number": "907-424-3622",
            "fax_number": "907-424-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 2ND ST.",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "99574",
            "telephone_number": "210-535-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DELIA",
        "middle_name": "M.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "165874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DREYES@direct.eyak-nsn.gov",
            "affiliation": "N",
            "endpointDescription": "Ilanka Community Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "705 2nd St.",
            "city": "Cordova",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cordova, AK

Sources for this page

Verify at the official NPI Registry.