Leticia Dedumo Reyes, NPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0216740 Issued in MP

Practice address

Kulot Drive Chalan Kamoa
Saipan, MP 96950-8901

Phone

(670) 285-1805

NPI assigned

May 11, 2016

Last updated

May 11, 2016By 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 MP

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kagman Community Health Center IncGroup PAC ID 6002171659, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kagman Community Health Center Inc

  dba Kagman Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Saipan, MP
  • NPI 1770002446
  Medicare reassignment Care Compare group
• Health Professional Corporation

  dba Saipan Health Clinic

  • Health Service Clinic/Center
  • Saipan, MP
  • NPI 1366467110
  Medicare reassignment NPD
• Sacred Heart Nurses, Inc

  dba Home Health Care

  • Home Health Agency
  • Saipan, MP
  • NPI 1619363470
  NPD Authorized official
• St. Jude Renal Care Facility, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1093769739
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1760838585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504576",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508901",
            "telephone_number": "670-285-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KULOT DRIVE CHALAN KAMOA",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508901",
            "telephone_number": "670-285-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LETICIA",
        "middle_name": "DEDUMO",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MP",
            "license": "F0216740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Edward Raho, RPH
• Renea Dasmarinas Raho, FNP-BC
• Gary Griffin Ramsey, MD
• Dean Michael Reedstrom, DDS
• Resources Management International Corporation
• Mark Davis Robertson, O.D.
• Losana Leba Rogoyawa, MIDWIFE
• Martin Philip Rohringer, MD
• Kim Ellen Runge, RPH
• Herbert Sablan

• Family Nurse Practitioner in Saipan, MP
• Providers in Saipan, MP by specialty
• Family Nurse Practitioner in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.