Active NPI
Raychel Puga Reynoso
- Social Worker
- Kent, WA
National Provider Identifier
1891345658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 827 Central Ave N Ste B-109
Kent, WA 98032-3095 - Phone
- (253) 277-2726
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
827 Central Ave N Ste B-109
Kent, WA 98032-3095
Mailing address
827 Central Ave N Ste B-109
Kent, WA 98032-3095
Phone (253) 277-2726
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glover Empowermentoring | Current | Accepting new patients |
Locations
827 Central Ave N
Ste B109
Kent, WA 98032
Phone (253) 277-2726
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Kent, WA
- NPI 1578113346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1891345658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 CENTRAL AVE N STE B-109",
"city": "KENT",
"state": "WA",
"postal_code": "980323095",
"telephone_number": "253-277-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 CENTRAL AVE N STE B-109",
"city": "KENT",
"state": "WA",
"postal_code": "980323095",
"telephone_number": "253-277-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGA REYNOSO",
"first_name": "RAYCHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
- Kristine Marie Proctor, LMP,MMP
- Proliance Surgeons Inc., P.S.
- Proliance Surgeons, Inc., P.S.
- Jennifer Brooke Prudhomme, CPM-TN
- Public Hospital District #1 of King County
- Puget Sound Drug Corporation
- Puget Sound Health and Rehab LLC
- Puget Sound Regional Fire Authority
- Chandra Delaine Pugh
- Kimberly Pulliam, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.