MRS. SELENE MARIE REYES (NPI# 1396176319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396176319 |
| Entity Type | Individual |
| Full Name | MRS. SELENE MARIE REYES |
| Credential | AGACNP |
| Practice Address |
2525 S Telshor Blvd Suite B2 Las Cruces NM 88011-5071 |
| Mailing Address |
181 Pena Blanca Loop Las Cruces NM 88011-8353 |
| Practice Telephone | 5755211575 |
| Mailing Telephone | 5756442988 |
| Enumeration Date | 2013-12-01 |
| Last Update Date | 2013-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CNP-02303 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2525 S TELSHOR BLVD SUITE B2 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890702 | Elizabeth O. Palmer | Internal Medicine | 2525 S Telshor Blvd, Bildg 14 Suite 102, Las Cruces, NM 88011-5071 | 2005-06-08 |
| 1376831032 | Hugh J. Hammant, Phd | Psychologist | 2525 S Telshor Blvd, Ste. 15-0202, Las Cruces, NM 88011-5071 | 2011-07-15 |
| 1700171758 | Hugh Joseph Hammant | Psychologist | 2525 S Telshor Blvd, Suite 15-202, Las Cruces, NM 88011-5071 | 2011-06-17 |
| 1841596608 | Sonda Sue Boulware | Nurse Practitioner | 2525 S Telshor Blvd, Building 14, Suite 102, Las Cruces, NM 88011-5071 | 2011-01-26 |
| 1689976268 | Sun View Imaging, LLC | Radiology | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-12-02 |
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| 1326373531 | Cynthia Jean Stechmeyer | Counselor | 2525 S Telshor Blvd, #15202, Las Cruces, NM 88011-5071 | 2009-10-05 |
| 1194998138 | Sunview Holdings Inc | Radiology | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2008-04-10 |
| 1124216015 | Charles D. Collins, Md, Facs | Surgery | 2525 S Telshor Blvd, Suite 16-108, Las Cruces, NM 88011-5071 | 2007-10-05 |
| 1336269679 | Norman Harrison, D.o. Medical Practice Pa | Chiropractor | 2525 S Telshor Blvd, Suite 104, Las Cruces, NM 88011-5071 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235636820 | Danielle Marie Ruiz | Nurse Practitioner | 2525 S Telshor Blvd Ste 102, Las Cruces, NM 88011-9148 | 2018-04-10 |
| 1891198081 | Patrick Garcia | Nurse Practitioner | 5819 Coyote Peak Place, Las Cruces, NM 88012 | 2014-10-01 |
| 1942367271 | Mary Ellen Hunner | Nurse Practitioner | 2530 S. Telshor Blvd., Suite 201, Las Cruces, NM 88011 | 2007-01-03 |
| 1215568076 | Tracey L Nutter | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-01-30 |
| 1144865510 | Matthew Franco | Nurse Practitioner | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2019-11-08 |
| 1699289173 | Samuel Correa Bustillos | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2017-11-20 |
| 1093178766 | Jaime Sanchez | Nurse Practitioner | 8175 Constitution Rd, Las Cruces, NM 88007-8984 | 2016-03-31 |
| 1982080347 | Marcia Watts Hammons | Nurse Practitioner | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2015-08-07 |
| 1275923286 | Nicholas Riburn Vaughn | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2015-01-28 |
| 1588081822 | Laurence Jerome Labayen | Nurse Practitioner | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2014-03-25 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on MRS. SELENE MARIE 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.