MARIA CASSANDRA REYES (NPI# 1083187736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083187736 |
Entity Type | Individual |
Full Name | MARIA CASSANDRA REYES |
Credential | NP-C |
Practice Address |
4600 Broadway Sacramento CA 95820-1527 |
Practice Telephone | 9168749670 |
Mailing Telephone | 9168749670 |
Enumeration Date | 2019-01-05 |
Last Update Date | 2019-09-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F12180873 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4600 BROADWAY |
City | SACRAMENTO |
State | CA |
Zip Code | 95820-1527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588669378 | Elaine M White | Nurse Practitioner | 4600 Broadway, Sacramento, CA 95820-1527 | 2005-06-17 |
1851908396 | Allyson Grieco | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-09-29 |
1134741739 | Katherine Sanchez | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-05-18 |
1124648225 | Sophia Parsh | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2020-04-20 |
1073158135 | Dezirae Viduya | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-11-13 |
1770134017 | Gloria Uchenna Belonwu | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-09-27 |
1073163069 | Ailing Wei | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-09-12 |
1972060150 | Krista Bruffett | Community Health Worker | 4600 Broadway, Sacramento, CA 95820-1527 | 2019-02-25 |
1801318027 | Christine Marie Randall Walker | Social Worker | 4600 Broadway, Sacramento, CA 95820-1527 | 2017-07-10 |
1134668429 | Chest Clinic | Clinic/Center | 4600 Broadway, Suite # 1300, Sacramento, CA 95820-1527 | 2017-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
Find all providers in zip 95820 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95820 |
Please comment or provide details below to improve the information on MARIA CASSANDRA REYES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.