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ATHENA REYES
NPI 1093473332
Registered Nurse in Oakland, CA

Active since December 03, 2021Accepts Medicare Assignment
3100 TELEGRAPH AVE, OAKLAND, CA 94609(510) 879-9200 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Athena Reyes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENA REYES (NPI 1093473332) is an individual registered nurse in Oakland, California, licensed in California (95040906) and active in the NPI registry since December 2021. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1093473332
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameATHENA REYES
Location Address3100 TELEGRAPH AVEOakland, CA 94609-3239
Mailing Address5212 Oakridge DrFairfield, CA 94534-6767
Phone(510) 879-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1093473332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 95040906
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
3100 TELEGRAPH AVE, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Athena Reyes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507301645
PECOS Enrollment IDI20240712001054

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON ANTHONY-JAVON SAUNDERS
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
SHARON SHIGEKO LEAF PHARMD
Pharmacist
3100 TELEGRAPH AVE, SUITE 1100
OAKLAND, CA 94609
Alameda County (510) 869-6818
NICOLE HELENE ARMSTRONG
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ALEJANDRA LOPEZ
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JULIANA PASTORE BSN, RN, CCRN
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JESSICA YU PA
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ELIZABETH MOYER PA-C
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 879-9257
NOELLE HENNIG
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 879-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athena Reyes's NPI number?

The NPI number for Athena Reyes is 1093473332. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Athena Reyes located?

Athena Reyes practices at 3100 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 879-9200.

What is Athena Reyes's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Athena Reyes enrolled in Medicare?

Yes. Athena Reyes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Athena Reyes was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.