Individual provider Active NPI

Maria Guadalupe Reyes

  • Family Nurse Practitioner
  • Fort Mohave, AZ
National Provider Identifier
1750116240
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
312911 Issued in AZ
Practice address
5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251
Phone
(928) 788-1911
Fax
(928) 788-1920
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Physician Practices LLC 10 clinicians

Practice addresses (Care Compare)

5300 S Hwy 95
Fort Mohave, AZ 86426-9251

Hospital & facility affiliations

  • River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20241009000709 AZ Practitioner - Nurse Practitioner 7517498934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
312911AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Physician Practices LLC Current Accepting new patients
Valley View Physician Practices, LLC CurrentSince Oct 1, 2024 Accepting new patients
Valley View Physician Practices, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3641 Highway 95
Bullhead City, AZ 86442
Phone (928) 704-4334

5300 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 768-9496

5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330

5300 S Highway 95
Ste D
Fort Mohave, AZ 86426
Phone (928) 788-3609

Interoperability endpoints

  • Direct secure messaging: maria.reyes.1@19231.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 312911 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251

Mailing address

5300 S Highway 95 Ste a
Fort Mohave, AZ 86426-9251
Phone (928) 788-1911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2024.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1750116240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-788-1911",
            "fax_number": "928-788-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-788-1911",
            "fax_number": "928-788-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.