Reana Lopez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18462 Issued in TX

Practice address

828 Myer LN
Kermit, TX 79745-4634

Phone

(432) 586-2040

NPI assigned

Aug 22, 2022

Last updated

Dec 6, 2024By 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 2

Addresses

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

Specialty

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winkler County Memorial Hospital Hospital, Kermit, TX, CCN 451314

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Winkler County Hospital District

  dba Winkler County Memorial Hospital

  • Critical Access Hospital
  • Kermit, TX
  • NPI 1730183658
  Medicare reassignment
• Winkler County Hospital District

  • Rural Health Clinic/Center
  • Kermit, TX
  • NPI 1336143007
  NPD (past)

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

• Winkler County Hospital District

  dba Winkler County Memorial Hospital

  • Critical Access Hospital
  • Kermit, TX
  • NPI 1730183658
  Care Compare affiliation

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1790403020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 W LOOP 250 N APT J304",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053362",
            "telephone_number": "432-250-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MYER LN",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454634",
            "telephone_number": "432-586-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "REANA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18462",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mendez Gonzalez
• John Judson Graves, D.D.S.
• Jo Nell Wilkinson & William Jack Wilkinson (Kermit Pharmacy)
• Keri Franklin Jones, RN
• JVHD LLC (Kermit Pharmacy)
• Lorina P Lujan, PA
• Hileen E Mallory, PA
• Mekason Pharmacy Big Spring , Inc (Mekason Pharmacy)
• James Paul Moody, MD
• Om Comprehensive Services LLC (Hometown Pharmacy - Kermit)

• Physician Assistant in Kermit, TX
• Providers in Kermit, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.