Active NPI
Reginald Posadas Reyrao, NP
- Family Nurse Practitioner
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN001114
- Practice address
- 6900 N Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- NPI assigned
- Sep 28, 2009
- Last updated
- Jul 15, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN001114 | NV | Primary |
Addresses
Primary practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
Other practice location 1
4475 S Eastern Ave
Ste. 1100
Las Vegas, NV 89119-7826
Phone (702) 724-2020
Other practice location 2
2980 S Jones Blvd Ste A
Las Vegas, NV 89146-5657
Phone (702) 362-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861726556 | Medicaid | NV | |
| APRN001114 | Other | NV | STATE LICENSE |
Other names 1
- Mr. Reginald Posadas Reryrao
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN001114 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Edward Yee MDPC | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients | |
| Carelink Medical Group of Nevada LLC | Past | Accepting new patients |
Locations
2980 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 362-3937
5052 S Jones Blvd
Ste 175
Las Vegas, NV 89118
Phone (702) 309-2015
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
- Clinic/Center
- Las Vegas, NV
- NPI 1780001347
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1861726556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000"
}
],
"practiceLocations": [
{
"address_1": "4475 S Eastern Ave",
"address_2": "Ste. 1100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891197826",
"country_code": "US",
"telephone_number": "702-724-2020",
"fax_number": "702-724-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2980 S Jones Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891465657",
"country_code": "US",
"telephone_number": "702-362-3937",
"fax_number": "702-362-7935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYRAO",
"first_name": "REGINALD",
"middle_name": "POSADAS",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN001114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861726556",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APRN001114",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGINALD",
"last_name": "RERYRAO",
"middle_name": "POSADAS",
"prefix": "MR.",
"credential": "ANP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.