Active NPI 1679620900 Individual Practitioner Female Practitioner

Raquel Reyes , PNP

Nurse Practitioner - Pediatrics • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Raquel Reyes, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Georgetown, TX. Practice services are available at 2423 WILLIAMS DR STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2423 Williams Dr Ste 103

Georgetown, TX 786283200

Telephone 8778005722

Associated Practice Facility / Clinic

🏢 Lone Star Circle Of Care Facility NPI 1437109881

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Georgetown, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 3.0 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

17 Specialists

Practicing in Georgetown, TX (2253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-15

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP105428

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License TX 452603

Definition to come...

Secondary Practice Locations

10002 Westover Blf

San Antonio, TX 782513353

Phone: 2102337000

7355 Barlite Blvd, Suite 201

San Antonio, TX 782241342

Phone: 2102220333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Gurpreet Basraon , MD

Pediatrics

NPI 1003341082

Doctor of Medicine (M.D.)

Dr. Jared Kealy , MD

Family Medicine

NPI 1003430208

Doctor of Medicine (M.D.)

Anjana Parad

Counselor - Professional

NPI 1003578618

Dr. Sue Moss , MD

Psychiatry & Neurology - Psychiatry

NPI 1013018597

Doctor of Medicine (M.D.)

Dr. Ezhilarasi Manickavasagam , MD

Pediatrics

NPI 1013171412

Doctor of Medicine (M.D.)

Vanessa Frassati , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013385624

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location December 15, 2023

Registered at 2423 WILLIAMS DR STE 103, GEORGETOWN, TX 786283200 (Tel: 8778005722)

📍

Updated Business Mailing Address December 15, 2023

Registered at 205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 786266821 (Tel: 5129941933)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2023

Nurse Practitioner (License #AP105428 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #452603 in TX)

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2018

Registered at 10002 WESTOVER BLF, SAN ANTONIO, TX 782513353 (Tel: 2102337000)

📍

Updated Business Mailing Address January 26, 2018

Registered at 3066 E COMMERCE ST, SAN ANTONIO, TX 782201013 (Tel: 2102337062)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as RAQUEL REYES, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Nurse Practitioner (License #AP105428 in TX)

✅

NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2014

Registered at 7355 BARLITE BLVD, SUITE 201, SAN ANTONIO, TX 782241342 (Tel: 2102220333)

📍

Updated Business Mailing Address February 20, 2014

Registered at 4827 JAMES GAINES, SAN ANTONIO, TX 782535097 (Tel: 8177269184)

👤

Provider Name / Credentials Updated February 20, 2014

Recorded as RAQUEL REYES, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Nurse Practitioner (License #452603 in TX)

🟢

Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1679620900

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 05, 2007

Last Update: December 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

205 E University Ave Ste 200

Georgetown, TX 786266821

Phone: 5129941933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.