Leilani Reyes, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71013954A Issued in IN

Practice address

4320 Fir St Unit 408
East Chicago, IN 46312-3078

Phone

(219) 398-9265

Fax

(219) 398-9370

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 219 Health Network Inc

  • Family Medicine Physician
  • East Chicago, IN
  • NPI 1093213506
  Medicare reassignment NPD
• Community Care Network Inc

  • Family Medicine Physician
  • St John, IN
  • NPI 1457610487
  Medicare reassignment NPD
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Munster, IN
  • NPI 1417811738
  NPD
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Highland, IN
  • NPI 1639916190
  NPD (past)
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1811562374
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1982201463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FIR ST UNIT 408",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123078",
            "telephone_number": "219-398-9265",
            "fax_number": "219-398-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 45th St Ste M",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223292",
            "country_code": "US",
            "telephone_number": "219-398-9265",
            "fax_number": "219-398-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8141 Kennedy Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221128",
            "country_code": "US",
            "telephone_number": "219-838-5040",
            "fax_number": "219-838-8133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "LEILANI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.022049",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013954A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300076366",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regal Adult Day Service Corp
• Regal Adult Day Services, LLC
• Regency Home Health Services
• Regency Hospital of Northwest Indiana, LLC
• Herbert Rettew
• Xavier Zaire Rias
• Lashawn Overzenia Richardson-Weems
• Josephine T Richardson
• Ralph William Richter Jr., MD
• Geoffrey Ritter, PT, DPT

• Family Nurse Practitioner in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.