Individual provider Active NPI

Elyzabeth Reyes, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1780210492
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145542 Issued in TX
Practice address
3312 N Buckner Blvd Ste 213
Dallas, TX 75228-5642
Phone
(469) 998-0720
Fax
(877) 692-4919
NPI assigned
Mar 14, 2020
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145542 TX Primary

Addresses

Primary practice location

3312 N Buckner Blvd Ste 213
Dallas, TX 75228-5642

Mailing address

3312 N Buckner Blvd Ste 213
Dallas, TX 75228-5642
Phone (469) 998-0720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elyzabeth.reyes.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230307003341 TX Practitioner - Nurse Practitioner 9133592421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3312 N Buckner Blvd
Suite 213
Dallas, TX 75228-5642
Phone (469) 998-0720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (TX) PA CurrentSince Jan 9, 2023 Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Jan 9, 2023 Accepting new patients
Centerwell Senior Primary Care (TX) PA Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

3209 W Camp Wisdom Rd
Dallas, TX 75237
Phone (469) 457-2694

3312 N Buckner Blvd
Ste 213
Dallas, TX 75228
Phone (469) 949-2842

4200 South Fwy
Ste 1990
Fort Worth, TX 76115
Phone (682) 990-6491

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

Interoperability endpoints

  • Direct secure messaging: elyzabeth.reyes@centerwell.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1780210492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 N BUCKNER BLVD STE 213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285642",
            "telephone_number": "469-998-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 N BUCKNER BLVD STE 213",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285642",
            "telephone_number": "469-998-0720",
            "fax_number": "877-692-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ELYZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyzabeth.reyes.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3312 N Buckner Blvd Ste 213",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752285642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.