ERIC JAVIER REYES (NPI# 1679110852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679110852 |
| Entity Type | Individual |
| Full Name | ERIC JAVIER REYES |
| Practice Address |
307 W Cota St Shelton WA 98584-2265 |
| Mailing Address |
528 Courtside St Sw Apt C104 Olympia WA 98502-8715 |
| Practice Telephone | 5033483767 |
| Mailing Telephone | 3605818188 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397413 | Eric P Reyes | Nurse Practitioner | 3300 E South St Ste 308, Lakewood, CA 90805-4598 | 2006-08-25 |
| 1114539343 | Eric Efren Reyes | Social Worker | 9645 Arrow Rte Ste A, Rancho Cucamonga, CA 91730-4554 | 2020-08-19 |
| 1285259747 | Eric Reyes | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-06-10 |
| 1548819816 | Eric Alberto Reyes | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2019-09-09 |
| 1235499823 | Eric Reyes | Social Worker | 333 Avenue X, Brooklyn, NY 11223-5960 | 2012-05-17 |
| Street Address |
307 W COTA ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933105 | Joshua Ireland | Psychologist | 307 W Cota St, Shelton, WA 98584-2265 | 2019-10-08 |
| 1528668787 | Ricardo De Jesus Funes | Social Worker | 307 W Cota St, Shelton, WA 98584-2265 | 2020-10-27 |
| 1841899713 | Mary Katherine Twidwell | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-10-22 |
| 1871191676 | Samantha Lynn Thompson | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-10-14 |
| 1316559131 | Kerry Rose Johnson | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-21 |
| 1013529122 | Jennifer A Sagen | Registered Nurse | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1629680731 | Akashia Milsap | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1457963571 | Shane Micheal Taylor | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1740890318 | Eric William Rehwaldt | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-07 |
| 1013527654 | Tracy Lynn Wright | Licensed Practical Nurse | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970010 | Axium Recovery Services | Clinic/Center | 222 W Mission Ave Ste 106, Spokane, WA 99201-2347 | 2019-09-04 |
| 1407979289 | Lummi Indian Business Council | Clinic/Center | 2694 Kwina Rd, Bellingham, WA 98226-9291 | 2007-04-09 |
| 1134352578 | New Options West, Inc | Clinic/Center | 1215 120th Ave Ne, Suite 204, Bellevue, WA 98005-2135 | 2009-09-02 |
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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.