Nicolle Marie Rivera Reyes, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1973 Issued in LA

Practice address

1603 Boone St Ste C
Leesville, LA 71446-5780

Phone

(337) 377-0477

Fax

(337) 404-1207

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True North Chiropractic LLCGroup PAC ID 5092059535, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• True North Chiropractic, LLC

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1942796750
  Medicare reassignment Care Compare group NPD
• Hanks Health and Wellness, LLC

  • Family Nurse Practitioner
  • Deridder, LA
  • NPI 1861103814
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1679288393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 BOONE ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465780",
            "telephone_number": "337-377-0477",
            "fax_number": "337-404-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BOONE ST STE C",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465780",
            "telephone_number": "337-377-0477",
            "fax_number": "337-404-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA REYES",
        "first_name": "NICOLLE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1973",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "N",
            "address_1": "1603 Boone St Ste C",
            "city": "Leesville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "714465780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rehabilitation Hospital of Leesville LLC (ClearSky Rehabilitation Hospital of Leesville)
• Renewed Spirits Teletherapy LLC
• Renewed Therapy & Wellness Center
• Jenae Armani Richard
• Jonathan Ritter
• Robert K. Lamme MD LLC
• Saadi Robinson
• Connie Robison
• Gabriel Rochon, PHARMD
• Jonathan Ryan Rogenmoser, D.D.S.

• Chiropractor in Leesville, LA
• Providers in Leesville, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.