Individual provider Active NPI

Kassi Brooke Reyes, R.N.

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1780125708
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1035034 Issued in DC
Practice address
1343 Clifton St NW
Apt 204
Washington, DC 20009-7033
Phone
(202) 817-7470
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1035034 DC Primary
Registered Nurse 163W00000X RN52511 ME

Addresses

Primary practice location

1343 Clifton St NW
Apt 204
Washington, DC 20009-7033

Mailing address

1343 Clifton St NW
Apt 204
Washington, DC 20009-7033
Phone (202) 817-7470

Other identifiers 2

IdentifierTypeStateIssuer
RN1035034OtherDCDC BOARD OF NURSING
RN52511OtherMEMAINE BOARD OF NURSING

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1035034DCMDRegistered Nurse
RN52511MEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1780125708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 CLIFTON ST NW",
            "address_2": "APT 204",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097033",
            "telephone_number": "202-817-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 CLIFTON ST NW",
            "address_2": "APT 204",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200097033",
            "telephone_number": "202-817-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "KASSI",
        "middle_name": "BROOKE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1035034",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN52511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BOARD OF NURSING",
            "identifier": "RN1035034",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF NURSING",
            "identifier": "RN52511",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.