Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Reyes Alvarado Herrera

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164142295

Dr. Reyes Alvarado Herrera is a Nurse Practitioner in Puyallup, Washington. Qualified in 2025, 1 year ago. Practices with Mikkadesh Mental Healthcare LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2022

Practice location Address checks out

2713 E Main
Puyallup, WA 98372
Phone: (253) 881-1020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP70000056 (WA)

Record details

NPI number1164142295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mikkadesh Mental Healthcare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Puyallup