KRISTINA MICHELLE REVELL (NPI# 1639697741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639697741 |
| Entity Type | Individual |
| Full Name | KRISTINA MICHELLE REVELL |
| Other Name | KRISTINA MICHELLE REVELL |
| Practice Address |
11552 Nw Summers Rd Bristol FL 32321-3344 |
| Practice Telephone | (850) 686-9764 |
| Mailing Telephone | 8506869764 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN9375914 | FL | Nursing Service Providers |
| Street Address |
11552 NW SUMMERS RD |
| City | BRISTOL |
| State | FL |
| Zip Code | 32321-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1508295692 | Maggie Chavez | Counselor | 12422 Ne Revell Road, Bristol, FL 32321 | 2013-11-08 |
| 1437586609 | Queen Brown Haven Assisted Living Facility | Assisted Living Facility | 6906 Nw Torreya Park Road, Bristol, FL 32321 | 2013-10-03 |
| 1538400072 | Ruby Lee Varnum | Assisted Living Facility | 12167 Nw Freeman Rd, Bristol, FL 32321 | 2013-03-08 |
| 1417233321 | April Dawn Landrum | Case Management | 13888 Nw Cr 12, Apalachee Center, Inc., Bristol, FL 32321 | 2011-10-25 |
| 1417191107 | Elizabeth Stephanie Hofrichter | Social Worker | 11033 Nw Sr 20, Bristol, FL 32321 | 2009-04-24 |
| 1275734881 | Efren L Baltazar | Obstetrics & Gynecology | 2571 Executive Center Circle East, Howard Building Division of Disability Determination, Tallahassee, FL 32321 | 2007-05-30 |
| 1336260322 | Laban Bontrager | Dentist | 12761 Ne Pea Ridge Rd, Bristol, FL 32321 | 2007-04-03 |
| 1225192404 | Liberty County School Board | Local Education Agency (LEA) | 12926 Nw Cr 12, Bristol, FL 32321 | 2006-12-21 |
| Find all providers in zip 32321 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760701197 | Racheal R Santarpia | Registered Nurse | 3300 West Lake Mary Blvd., Suite 100, Nemours Childrens Clinic, Lake Mary, Lake Mary, FL 32746-4885 | 2010-05-25 |
| 1831301936 | Clara Sirolli Fregeolle | Registered Nurse | Hospital Based Neonatal Nurse Practitioner, 1550 Madruga Ave Suite 220, Coral Gables, FL 33146 | 2007-05-03 |
| 1114969524 | Kettely Devariste | Registered Nurse | 3622 Ne 13th Ave, Cape Coral, FL 33909-6415 | 2006-06-11 |
| 1326660978 | Jacqueline Frazer | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2009 | 2020-05-16 |
| 1649892324 | Angela Ellen Mckee | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-05-15 |
| 1487283024 | Darianna Rosado Isales | Registered Nurse | 83 W Miller St, Orlando, FL 32806-2031 | 2020-04-06 |
| 1841827052 | Darline Ruiz | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-03-26 |
| 1881226835 | Jasmine Taylor | Registered Nurse | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2020-02-07 |
| 1023654357 | Trina Renee Williams | Registered Nurse | 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082-4098 | 2019-11-21 |
| 1124662218 | Adrienne Clayton | Registered Nurse | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2019-10-31 |
| Find all providers with the same taxonomy | ||||
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| 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.