Audrey Reyes, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004961 Issued in PA

Practice address

101 Washington Street
Learning Institute
Harrisburg, PA 17104-1675

Phone

(717) 221-6258

Fax

(717) 221-6266

NPI assigned

Dec 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1407813603
  NPD (past)

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1902141492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8932",
            "fax_number": "717-231-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WASHINGTON STREET",
            "address_2": "LEARNING INSTITUTE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041675",
            "telephone_number": "717-221-6258",
            "fax_number": "717-221-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103022980",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "areyes8386@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "101 Washington Street",
            "address_2": "Learning Institute",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Resurgence Family Preservation Services, LLC (Resurgence Family Preservation Services)
• Daniel Braden Reubens, DPM
• Avia Reuveni, DPM
• Melissa Brigette Revens, LPN
• Revive Healthcare Solutions LLC
• Michele Reynolds
• RGS Home Care LLC
• Kevin Rhie
• Rhino Express, LLC
• Rhino Express, LLC

• Registered Dietitian in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.