KELLEY REVELS


Address: 2429 S Prairie Ave, Pueblo, CO 81005-2886
Phone: (719) 564-5070

KELLEY REVELS (NPI# 1720500952) 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) 1720500952
Entity Type Individual
Full Name KELLEY REVELS
Credential RN
Practice Address 2429 S Prairie Ave
Pueblo
CO 81005-2886
Practice Telephone (719) 564-5070
Practice Fax Number 7198962874
Mailing Telephone 7195645070
Mailing Fax Number 7198962874
Enumeration Date 2017-07-10
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse RN.1616979 CO Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
109 Latigo Ln Ste G, Canon City, CO 812128113 7192750700 7198962874

Office Location

Street Address 2429 S PRAIRIE AVE
City PUEBLO
State CO
Zip Code 81005-2886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346406196 Samantha Coleman Counselor 2429 S Prairie Ave, Pueblo, CO 81005 2008-07-31
1316588445 Karla Lee Scull Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2019-09-30
1821569955 Megan Lynn Garcia Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2018-12-16
1023589447 Xaviera Turner Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2018-12-11
1518438928 Brielle Byrd Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2018-12-10
1407330368 Justin P Genova Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2018-09-17
1205310216 Laura Padilla Marriage & Family Therapist 2429 S Prairie Ave, Pueblo, CO 81005-2886 2018-09-17
1184138158 Dana G Lieser Licensed Practical Nurse 2429 S Prairie Ave, Pueblo, CO 81005-2886 2017-11-28
1487106365 Stacie Marie Gonzales Counselor 2429 S Prairie Ave, Pueblo, CO 81005-2886 2016-10-26
1740738921 Tyleen Irene Sandstrom Social Worker 2429 S Prairie Ave, Pueblo, CO 81005-2886 2016-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225595630 Kimberly Warfield Specialist 5825 W Hwy 78, Pueblo, CA 81005 2019-02-22
1417461823 Yah Vision Optometrist 2568 Taylor Ln, Pueblo, CO 81005 2017-11-21
1245758168 Jenny C Alas Dentist 2603 Vinewood Lane, Pueblo, CO 81005 2017-08-30
1801342472 Cynthia Watson Counselor 2429 S. Prairie Avenue, Pueblo, CO 81005 2016-09-01
1598033664 Kyle Andrew Bonds Pharmacist 2900 W. Northern Ave., Pueblo, CO 81005 2011-12-05
1184890915 Hg Stringert Dds, Ms, PC Dentist 3955 Sandlewood Lane, Pueblo, CO 81005 2008-05-01
1992902423 David Russell Baer Dentist 2041 Pepper Lane, Ste A, Pueblo, CO 81005 2007-06-28
1659443695 Thomas Wesley Ready Dentist 643 So Pueblo Blvd, Pueblo, CO 81005 2006-11-14
1700969029 Bradley Michael Almond Dentist 1221 S Pueblo Blvd, Pueblo, CO 81005 2006-10-23
1114009198 Senior Harbors, Inc. Psychologist 2118 Chatalet Lane, Pueblo, CO 81005 2006-10-19
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770181760 Kaitlyn Pullara Registered Nurse 1 El Pueblo Way, Pueblo, CO 81006 2020-10-13
1902413776 Holly Laughlin Registered Nurse 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 2020-09-25
1891251153 Melissa Rae Crespin Registered Nurse 1721 Kingsroyal Blvd, Pueblo, CO 81005-2173 2019-02-12
1861855785 Kelly Lopez Registered Nurse 3019 4th Ave, Pueblo, CO 81008-1111 2016-03-29
1548650062 Brett Mach Registered Nurse 219 W Orman Ave, Pueblo, CO 81004-1837 2015-02-04
1881083632 Suzanne Masias Registered Nurse 6 Woodbridge Pl, Pueblo, CO 81001-1417 2015-01-16
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1316379175 Cheryl R Sivels Registered Nurse 41 Montebello Rd Ste 200, Pueblo, CO 81001-1366 2013-08-05
1609114792 Deborah Jane Moore Registered Nurse 172 Fordham Cir, Pueblo, CO 81005-1649 2013-01-23
1609146950 Natasha Liette Mondragon Registered Nurse 1302 E. 5th, Pueblo, CO 81001 2012-01-04
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Competitor

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City PUEBLO
Zip Code 81005

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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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