Individual provider Active NPI

Reynaldo Valdez, PNP

  • Pediatric Nurse Practitioner
  • Alamo, TX
National Provider Identifier
1609814409
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
518435 Issued in TX
Practice address
427 E Duranta Ave
Suite 102
Alamo, TX 78516-3406
Phone
(956) 702-2444
Fax
(956) 702-2455
NPI assigned
Jun 3, 2006
Last updated
Feb 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 518435 TX Primary

Addresses

Primary practice location

427 E Duranta Ave
Suite 102
Alamo, TX 78516-3406

Mailing address

427 E Duranta Ave
Suite 102
Alamo, TX 78516-3406
Phone (956) 702-2444

Other identifiers 5

IdentifierTypeStateIssuer
111485205MedicaidTX
111485207MedicaidTX
111485206MedicaidTX
111485204MedicaidTX
111485208MedicaidTX

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

LicenseStateTypeSpecialty
518435TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Pediatrics, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1609814409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE",
            "address_2": "SUITE 102",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163406",
            "telephone_number": "956-702-2444",
            "fax_number": "956-702-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE",
            "address_2": "SUITE 102",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163406",
            "telephone_number": "956-702-2444",
            "fax_number": "956-702-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "REYNALDO",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "518435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111485205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111485207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111485206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111485204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111485208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.