LYNNETTE RENEE REVILLE


Address: 1325 South Apollo, Melbourne, FL 32901
Phone: 3215086455

LYNNETTE RENEE REVILLE (NPI# 1316110216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316110216
Entity Type Individual
Full Name LYNNETTE RENEE REVILLE
Credential M.A., CCC-A
Practice Address 1325 South Apollo
Melbourne
FL 32901
Mailing Address 1325 S.apollo
Dr Blenda Dickenson
Melbourne
FL 32901
Practice Telephone 3215086455
Enumeration Date 2008-04-11
Last Update Date 2014-02-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist AY000498 FL Speech, Language and Hearing Service Providers

Office Location

Street Address 1325 SOUTH APOLLO
City MELBOURNE
State FL
Zip Code 32901

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NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508127572 Krista Janine Delaney Kello Audiologist 2600 Wingate Blvd, Melbourne, FL 32904-7463 2012-06-06
1487952016 Christopher Hutchinson Audiologist 2290 W Eau Gallie Blvd Ste 110, Melbourne, FL 32935-3134 2011-03-07
1932377876 David F Barr Audiologist 1344 S Apollo Blvd Ste 301, Melbourne, FL 32901-3185 2008-02-13
1366583239 Maija Sweeney Audiologist 1344 S. Apollo Blvd, Suite 301, Melbourne, FL 32901 2007-02-12
1831203611 Earcare P.a. Audiologist 7777 N Wickham Rd Ste 21, Melbourne, FL 32940-7978 2006-08-18
1447281282 Charles Lee Harney Audiologist 3134 Lake Washington Rd, Melbourne, FL 32934 2006-07-06
1700363736 Two Rivers Hearing Audiologist 21 Suntree Pl, Melbourne, FL 32940-7600 2018-07-23
1982198586 Letitia Krieg Audiologist 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 2018-06-18
1134613847 Sara Gaffney Audiologist 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-16
1538615729 Fredericka Clarke Audiologist 1344 S Apollo Blvd Ste 301, Melbourne, FL 32901-3185 2016-08-29
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City MELBOURNE
Zip Code 32901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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