Active NPI
Corrina Reyes
- Driver
- Jackson, OH
National Provider Identifier
1649746017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- SL974812
- Practice address
- 402 N High St
Jackson, OH 45640-1214 - Phone
- (740) 577-2536
- NPI assigned
- Oct 23, 2018
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | SL974812 | OH | Primary |
Addresses
Primary practice location
402 N High St
Jackson, OH 45640-1214
Mailing address
59A Court St
Gallipolis, OH 45631-1138
Phone (740) 577-2536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL974812 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1649746017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59A COURT ST",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311138",
"telephone_number": "740-577-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N HIGH ST",
"city": "JACKSON",
"state": "OH",
"postal_code": "456401214",
"telephone_number": "740-577-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "CORRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SL974812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.