SHIRLEY JACQUELINE REYES (NPI# 1356812747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356812747 |
| Entity Type | Individual |
| Full Name | SHIRLEY JACQUELINE REYES |
| Practice Address |
2400 Moorpark Ave Ste 300 San Jose CA 95128-2680 |
| Practice Telephone | 2092308057 |
| Mailing Telephone | 2092308057 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794316 | Shirley Buensuceso Reyes | Home Health | 7124 Ramona Ave, Alta Loma, CA 91701-5916 | 2020-06-09 |
| 1457719510 | Shirley Reyes | Nurse Practitioner | 37 Ryant Blvd, Sebring, FL 33870-8075 | 2016-02-04 |
| Street Address |
2400 MOORPARK AVE STE 300 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366500282 | Samantha W Chen | Marriage & Family Therapist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128 | 2006-12-04 |
| 1992302996 | Lillian Lai | Social Worker | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-10-03 |
| 1619584232 | Felicia Hwung | Registered Nurse | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-09-28 |
| 1558970541 | Sherry Lin | Counselor | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-07-27 |
| 1326656711 | Martha Estela Polanco | Counselor | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-07-21 |
| 1932717584 | Karen Wilson | Student in an Organized Health Care Education/Training Program | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-07-20 |
| 1740898964 | Nan Yang | Counselor | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-07-14 |
| 1497371462 | Shuyang Zhang | Counselor | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-06-24 |
| 1811512981 | Sarah Lustiger | Counselor | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-06-14 |
| 1467077768 | Kathryn Elaine Rennie | Marriage & Family Therapist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553951 | Berneise Billote Montuya | Peer Specialist | 1340 Tully Rd Ste 304, San Jose, CA 95122-3055 | 2020-09-18 |
| 1609409473 | Julia Diane Helfrich | Peer Specialist | 1885 Lundy Ave, San Jose, CA 95131-1887 | 2020-02-19 |
| 1891327102 | Salma Shaw | Peer Specialist | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2020-02-05 |
| 1982249785 | Sophia Chung | Peer Specialist | 800 N 1st St, San Jose, CA 95112-6312 | 2019-11-15 |
| 1447893490 | Melissa Elicia Cruz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-10-22 |
| 1619529898 | Tatiana Victoria Goodwin | Peer Specialist | 298 Bernal Rd, San Jose, CA 95119-1809 | 2019-07-09 |
| 1881194306 | Lohrie Arruiza | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2018-02-21 |
| 1477093219 | Victoria Cardenas | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-27 |
| 1871032524 | Alberto Ruiz | Peer Specialist | 2001 The Alameda, San Jose, CA 95126-1136 | 2017-02-14 |
| 1720526601 | Stephen Gilligan Tull | Peer Specialist | 86 S 14th St, San Jose, CA 95112-2015 | 2017-02-10 |
| Find all providers in SAN JOSE | ||||
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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.