DR. IMELDA REYES (NPI# 1306074406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306074406 |
| Entity Type | Individual |
| Full Name | DR. IMELDA REYES |
| Credential | APRN |
| Practice Address |
4166 Buford Hwy Ne Suite 1102 Atlanta GA 30345-1081 |
| Practice Telephone | 4047858160 |
| Mailing Telephone | 4047858160 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN192592 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN192592 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033531025 | Imelda Reyes | Specialist | 1390 Market St Ste 201, San Francisco, CA 94102-5404 | 2014-01-10 |
| Street Address |
4166 BUFORD HWY NE SUITE 1102 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689625592 | Jose A Rios | Pediatrics | 4166 Buford Hwy Ne, Ste 1102, Atlanta, GA 30345-1081 | 2006-05-15 |
| 1043679913 | Andrea Isamar Avila | Nurse Practitioner | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2016-02-19 |
| 1881084879 | Primary Care At Childrens, LLC | Pediatrics | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2015-01-28 |
| 1811241854 | Aikaterine Sofia Pottinger | Nurse Practitioner | 4166 Buford Hwy Ne, Atlanta, GA 30345-1081 | 2012-10-30 |
| 1679845739 | Mary R Coello | Optometrist | 4166 Buford Hwy Ne, Plaza Fiesta Mall Suite S6-t5, Atlanta, GA 30345-1081 | 2012-02-06 |
| 1780844365 | Optica Familiar Corp | Optometrist | 4166 Buford Hwy Ne, Ste R6 ; Mb I 10, Atlanta, GA 30345-1081 | 2008-06-17 |
| 1194919100 | Maria Isabel Rosso | Pediatrics | 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 | 2007-09-03 |
| 1053352161 | Christopher Lee Hoskin | Optometrist | 4166 Buford Hwy Ne, Suite R6 ; Mb I - 10, Atlanta, GA 30345-1081 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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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.