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NICOLLE MARIE RIVERA REYES D.C.
NPI 1679288393
Chiropractor in Leesville, LA

Active since January 17, 2023Accepts Medicare Assignment
1603 BOONE ST STE C, LEESVILLE, LA 71446(337) 377-0477(337) 404-1207 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicolle Marie Rivera Reyes D.c. NPPES

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

NICOLLE MARIE RIVERA REYES D.C. (NPI 1679288393) is an individual chiropractor in Leesville, Louisiana, licensed in Louisiana (1973) and active in the NPI registry since January 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1679288393
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameNICOLLE MARIE RIVERA REYESCredential: D.C.
Location Address1603 BOONE ST STE CLeesville, LA 71446-5780
Mailing Address1603 Boone St Ste CLeesville, LA 71446-5780 · (337) 377-0477 · Fax (337) 404-1207
Phone(337) 377-0477
Fax(337) 404-1207
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1679288393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1973
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1603 BOONE ST STE C, Leesville, LA 71446
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Other Identifiers 1

Other1973LA · Chiropractor

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

Nicolle Marie Rivera Reyes D.c. 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 ID2062884802
PECOS Enrollment IDI20251119003052

Other Providers at the Same Location NPPES 3

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

MARK GREGORY LMT
Massage Therapist
1603 BOONE ST STE C
LEESVILLE, LA 71446
Vernon Parish (337) 718-6517
RYLLIE KAIT POLLARD MASSAGE THERAPIST
Massage Therapist
1603 BOONE ST STE C
LEESVILLE, LA 71446
Vernon Parish (337) 377-0477
JAMES JOHN MCADAMS
Massage Therapist
1603 BOONE ST STE C
LEESVILLE, LA 71446
Vernon Parish (337) 377-0477

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 Nicolle Rivera Reyes's NPI number?

The NPI number for Nicolle Rivera Reyes is 1679288393. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Nicolle Rivera Reyes located?

Nicolle Rivera Reyes practices at 1603 Boone St Ste C, Leesville, LA 71446. The listed phone number is (337) 377-0477.

What is Nicolle Rivera Reyes's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicolle Rivera Reyes enrolled in Medicare?

Yes. Nicolle Rivera 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 Nicolle Rivera Reyes was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.