ANGELICA CASTILLO REYES
Complete NPI Record 1306382213
Nurse Practitioner - Family in Las Vegas, NV
Active since January 17, 2017PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Angelica Castillo Reyes (NPI 1306382213), an individual nurse practitioner provider in Las Vegas, NV. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1306382213 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: REYES Field 3/32
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: ANGELICA Field 4/32
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: CASTILLO Field 5/32
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 6255 W SUNSET BLVD FL 21 Field 6/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LOS ANGELES Field 7/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 8/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 900287422 Field 9/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 3238605200 Field 11/32
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 3234677119 Field 12/32
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 3201 S MARYLAND PKWY STE 218 Field 13/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: LAS VEGAS Field 14/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NV Field 15/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 891092424 Field 16/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7028628075 Field 18/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7028628077 Field 19/32
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 22/32
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 23/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: APRN002671 Field 24/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: NV Field 25/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 163W00000X Field 27/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: RN64702 Field 28/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: NV Field 29/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 31/32
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 14
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
2001 Santa Monica Blvd Ste 1160W
Location 1/14Santa Monica, CA 90404-2120 · Phone (424) 282-6574
151 N Sunrise Ave Ste 1203
Location 2/14Roseville, CA 95661-2932 · Phone (916) 850-2559
2321 W March Ln Ste 100
Location 3/14Stockton, CA 95207-5278 · Phone (209) 921-3895
150 N Robertson Blvd Ste 206
Location 4/14Beverly Hills, CA 90211-2144 · Phone (424) 550-3478
435 Arden Ave Ste 460
Location 5/14Glendale, CA 91203-1139 · Phone (747) 330-4769
7201 W Lake Mead Blvd Ste 112
Location 6/14Las Vegas, NV 89128-8362 · Phone (702) 703-5160 · Fax (702) 946-5052
1865 Plumas St Ste 4
Location 7/14Reno, NV 89509-3386 · Phone (775) 218-9020
660 W Locust Ave Ste 103
Location 8/14Fresno, CA 93650-1094 · Phone (559) 500-0910 · Fax (559) 354-0118
2331A Montpelier Dr Ste 20
Location 9/14San Jose, CA 95116-1614 · Phone (408) 647-1524
1580 W El Camino Real Ste 5
Location 10/14Mountain View, CA 94040-2461 · Phone (650) 623-5731
4849 Van Nuys Blvd Ste 211
Location 11/14Sherman Oaks, CA 91403-2127 · Phone (747) 262-5075
2915 Telegraph Ave Ste 304
Location 12/14Berkeley, CA 94705-2030 · Phone (562) 625-0819
2510 Webster St
Location 13/14Berkeley, CA 94705-2557 · Phone (562) 625-0819
5875 S Rainbow Blvd Ste 203
Location 14/14Las Vegas, NV 89118-2556 · Phone (702) 820-5830 · Fax (702) 922-3345
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