Active NPI
Adriana Salazar Reyes, M.S.N., C.P.N.P.
- Pediatric Nurse Practitioner
- Brownsville, TX
National Provider Identifier
1528308285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 630312
- Practice address
- 4770 U.S. 83
Suite 102
Brownsville, TX 78526 - Phone
- (956) 350-0779
- NPI assigned
- Feb 18, 2013
- Last updated
- Feb 18, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 630312 | TX | Primary |
Addresses
Primary practice location
4770 U.S. 83
Suite 102
Brownsville, TX 78526
Mailing address
31152 Gamble Rd
San Benito, TX 78586-6963
Phone (956) 792-8241
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 Pediatric Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630312 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1528308285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31152 GAMBLE RD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785866963",
"telephone_number": "956-792-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 U.S. 83",
"address_2": "SUITE 102",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78526",
"telephone_number": "956-350-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ADRIANA",
"middle_name": "SALAZAR",
"name_prefix": "Mrs.",
"credential": "M.S.N., C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "630312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.