MELISSA SAMANTHA REYES (NPI# 1710417258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710417258 |
| Entity Type | Individual |
| Full Name | MELISSA SAMANTHA REYES |
| Practice Address |
5241 N Maple Ave Fresno CA 93740-3125 |
| Mailing Address |
1187 Curtis Ct Ripon CA 95366-3125 |
| Practice Telephone | 5592784240 |
| Mailing Telephone | 2096091181 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1346608734 | Melissa Reyes | Speech-Language Pathologist | 3702 31st Ave Apt 1r, Astoria, NY 11103-3834 | 2016-02-01 |
| 1023622479 | Melissa Reyes | Behavior Technician | 260 Mariner Blvd, Spring Hill, FL 34609-5691 | 2020-09-03 |
| 1366923013 | Melissa Reyes | Behavioral Analyst | 39210 State St Ste 220, Fremont, CA 94538-1456 | 2018-08-21 |
| 1730621798 | Melissa Reyes | Case Manager/Care Coordinator | 1231 N Tuttle Ave, Sarasota, FL 34237-3116 | 2016-11-08 |
| 1033660162 | Melissa Reyes | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2016-10-24 |
| 1164827051 | Melissa Reyes | Technician | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2014-11-04 |
| 1558561498 | Melissa Anne Reyes | Dermatology | 4050 Dublin Blvd, Dublin, CA 94568-3112 | 2007-07-19 |
| Street Address |
5241 N MAPLE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93740-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396030573 | John Conrado Kuivenhoven | Psychologist | 5241 N Maple Ave, Suite 2, Fresno, CA 93740-0001 | 2011-06-15 |
| 1114538774 | Allen Swadley | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2020-08-16 |
| 1265042964 | Monica Ng | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2020-08-06 |
| 1194202523 | Kimberly Lynn Ward | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-07-27 |
| 1962989756 | Paul Ormonde | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-07-24 |
| 1053800789 | Teagan Iona Puckett | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2018-05-08 |
| 1063932614 | Clay Andrew Taylor | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2017-06-25 |
| 1508396573 | Francisco Javier Valles | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2017-06-13 |
| 1861845513 | Joseph Irizarry | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2016-07-18 |
| 1467843490 | Joshua Adame | Specialist/Technologist | 5241 N Maple Ave, Fresno, CA 93740-0001 | 2015-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753912 | Fernando Manriquez Magana | Specialist/Technologist | 5241 Nmaple Ave, Fresno, CA 93740 | 2020-09-01 |
| 1770039414 | Riana R Pryor | Specialist/Technologist | 5275 N. Campus Dr., M/s Sg28, Fresno, CA 93740 | 2016-09-01 |
| 1194178087 | Zoe Koda Higman | Specialist/Technologist | 1630 E Bulldog Lane, Meyers Family Sports Medicine Center, Fresno, CA 93740 | 2016-07-15 |
| 1437228483 | Student Health Center | Clinic/Center | 5044n Barton Ave, Fresno, CA 93740 | 2006-11-06 |
| 1447759287 | Kali Hartzold | Specialist/Technologist | 1630 East Bulldog Lane, Fresno, CA 93740-0001 | 2018-02-07 |
| 1538685540 | Natalie Davila | Specialist/Technologist | 5275 N Campus Dr M/s Sg28, Fresno, CA 93740-0001 | 2017-08-21 |
| 1073033148 | Gary Lyle Salinas Jr. | Specialist/Technologist | Department of Kinesiology 5275 N Campus, Fresno, CA 93740-0001 | 2017-06-21 |
| 1366828147 | Timothy Yeager | Behavioral Analyst | 5048 N Jackson Ave, Fresno, CA 93740-0001 | 2015-08-04 |
| 1932599362 | Krista Bayers | Specialist/Technologist | 1630 E Bulldog Ln, Fresno, CA 93740-0001 | 2015-01-22 |
| 1295171007 | California State University Fresno Foundation | Community/Behavioral Health | 5048 N Jackson Ave M S Ls138, Fresno, CA 93740-0001 | 2013-05-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526672 | Chandni T Patel | Student in an Organized Health Care Education/Training Program | 9715 N Willey Ct, Fresno, CA 93720-5418 | 2020-07-29 |
| 1649892514 | Jasdeep Brar | Student in an Organized Health Care Education/Training Program | 4409 E Inyo St. Unit A, Fresno, CA 93702-2977 | 2020-05-13 |
| 1396364048 | Dessere Givertz | Student in an Organized Health Care Education/Training Program | 10155 N Edgewood Dr, Fresno, CA 93720-3423 | 2020-04-13 |
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1669001632 | Hunza Chaudhry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St Ste 307, Fresno, CA 93701-2302 | 2020-04-02 |
| 1720616345 | Veronica Moffitt | Student in an Organized Health Care Education/Training Program | 6536 N Wheeler Ave, Fresno, CA 93722-3007 | 2020-03-30 |
| 1225682701 | Mariah Isabel Negrete | Student in an Organized Health Care Education/Training Program | 5503 W Pinedale Ave, Fresno, CA 93722-2348 | 2019-08-01 |
| 1174184543 | Keschia Matthews | Student in an Organized Health Care Education/Training Program | 2118 Beacon Light Ln, Fresno, TX 77545-7089 | 2019-06-25 |
| 1710545884 | Tanica Eboni Washington | Student in an Organized Health Care Education/Training Program | 4151 N Blythe Ave Apt 132, Fresno, CA 93722-6376 | 2019-06-03 |
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| 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.