Active NPI
Hugo Jonathan Reyes, PA-C
- Medical Physician Assistant
- Walla Walla, WA
National Provider Identifier
1811206717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.60182629
- Practice address
- 1313 N 13TH Ave
Walla Walla, WA 99362-8817 - Phone
- (509) 525-3610
- NPI assigned
- Sep 27, 2010
- Last updated
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.60182629 | WA | Primary |
Addresses
Primary practice location
1313 N 13TH Ave
Walla Walla, WA 99362-8817
Mailing address
221 NE a St
College Place, WA 99324-1113
Phone (425) 232-4436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.60182629 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1811206717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 NE A ST",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241113",
"telephone_number": "425-232-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 N 13TH AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628817",
"telephone_number": "509-525-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "HUGO",
"middle_name": "JONATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA.60182629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.