Adriana Reyna, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00616 Issued in RI

Practice address

42 Park PL
Pawtucket, RI 02860-4010

Phone

(401) 729-0080

Fax

(401) 729-9901

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By 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

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackstone Valley Community Health Care IncGroup PAC ID 8628045762, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: adriana.reyna.p1@direct.bvchc.nextgenshare.com

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.

• Blackstone Valley Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pawtucket, RI
  • NPI 1063574135
  Medicare reassignment Care Compare group
• Blackstone Valley Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Central Falls, RI
  • NPI 1275847766
  NPD (past)

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

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1710258819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PARK PL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604010",
            "telephone_number": "401-729-0080",
            "fax_number": "401-729-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PARK PL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604010",
            "telephone_number": "401-729-0080",
            "fax_number": "401-729-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ADRIANA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resources for Human Development
• Resources for Human Development Inc.
• Maria Isabel Restrepo, BA, C SLPA
• Aldelis Rosalin Reyes, CCHW
• Daniel Reyes, MASTERS
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 00670)
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 02234)
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01042)
• Rhode Island Foot Care, Inc
• Rhode Island Hospital

• Physician Assistant in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.