Virginia Rivas Reyes

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9262536 Issued in AZ

Practice address

6723 N 61St Ave
Glendale, AZ 85301-3108

Phone

(623) 206-4841

Fax

(602) 279-1431

NPI assigned

Feb 28, 2019

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 names 1

• Virginia Rivas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1922565613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16906",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850116906",
            "telephone_number": "602-279-1427",
            "fax_number": "602-279-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 N 61ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013108",
            "telephone_number": "623-206-4841",
            "fax_number": "602-279-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "VIRGINIA",
        "middle_name": "RIVAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "9262536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "RIVAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Revival Home Care
• Revive Wellness & Rejuvenation
• Revive Wellness and Rejuvenation LLC
• Jacob Reyes
• Lisa T. Reyes, O.D.
• Elizabeth Michele Reyna
• Bassem Rezk
• RGL Development, LLC
• Rhino'S Med. Trans, LLC
• Torre Rhoades, MD

• Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.