Cassandra Reyes, is a
Nurse Practitioner physician based in Park City, Utah. Cassandra Reyes is licensed to practice in Utah (license number 11932174-3102) and her current practice location is 750 Round Valley Dr Ste 201, Park City, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 649-7680.
NPI number for Cassandra Reyes is 1558110395 and her current mailing address is Po Box 27128, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558110395.
Physician's Profile
Full Name | Cassandra Reyes |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 750 Round Valley Dr Ste 201, Park City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558110395
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 05/22/2025
Medical Identifiers
Medical identifiers for Cassandra Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558110395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11932174-3102 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 11932174-3102 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cassandra Reyes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cassandra Reyes, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 649-7680 | Cassandra Reyes, 750 Round Valley Dr Ste 201, Park City, UT 84060-7549 Ph: (435) 649-7680 |
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