Active NPI
Ruth Naomi Reyes, FNP-BC
- Family Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1831484328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18641
- Practice address
- 16541 Potter Cir
Huntington Beach, CA 92647-4822 - Phone
- (714) 596-1920
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18641 | CA | Primary |
Addresses
Primary practice location
16541 Potter Cir
Huntington Beach, CA 92647-4822
Mailing address
16541 Potter Cir
Huntington Beach, CA 92647-4822
Phone (714) 596-1920
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 |
|---|---|---|---|
| 18641 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1831484328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16541 POTTER CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474822",
"telephone_number": "714-596-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16541 POTTER CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474822",
"telephone_number": "714-596-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "RUTH",
"middle_name": "NAOMI",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.