MRS. CECILIA MAI REYES (NPI# 1588903694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588903694 |
| Entity Type | Individual |
| Full Name | MRS. CECILIA MAI REYES |
| Credential | PA |
| Practice Address |
1014 Harkrider St Ste B Conway AR 72032-4471 |
| Practice Telephone | 5013277100 |
| Mailing Telephone | 5013277100 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-499 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811214943 | Cecilia V. Reyes | Nurse Practitioner | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2010-04-29 |
| Street Address |
1014 HARKRIDER ST STE B |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265635981 | Leanne Stegall Griffin | Physician Assistant | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2007-06-08 |
| 1356987028 | Central Arkansas Obgyn Pllc | Obstetrics & Gynecology | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2019-11-18 |
| 1710400940 | Amanda M Hawks | Nurse Practitioner | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| 1639641947 | Molly M Lensing | Physician Assistant | 812 Oak St, Conway, AR 72032-4408 | 2018-12-27 |
| 1942671730 | Courtney Layne Mosley | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2015-10-19 |
| 1316338684 | Alexandra Savenka | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2015-02-09 |
| 1326468059 | Savannah Bradbury | Physician Assistant | 550 Club Ln, Suite1, Conway, AR 72034-3681 | 2014-04-21 |
| 1831526615 | Ashley Allen | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2013-10-11 |
| 1508127911 | Erin Stewart Floyd | Physician Assistant | 1301 Creel St, Conway, SC 29527-5018 | 2012-06-01 |
| 1467779868 | Kristin Bland Richardson | Physician Assistant | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2010-04-23 |
| Find all providers in CONWAY | ||||
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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.