JAMES CLIFFORD REVIS (NPI# 1831716026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831716026 |
| Entity Type | Individual |
| Full Name | JAMES CLIFFORD REVIS |
| Credential | CRNA |
| Practice Address |
36065 Santa Fe Ave Fort Hood TX 76544 |
| Mailing Address |
416 San Gabriel River Rd Georgetown TX 78626-2178 |
| Practice Telephone | 2542888000 |
| Mailing Telephone | 5135042700 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN282004 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36065 SANTA FE AVE |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252438 | Marita Joan Prince | Registered Nurse | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2005-11-16 |
| 1124629993 | Jeffery Mehaffey | Physician Assistant | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-11-06 |
| 1235744855 | Lorrie Marie Santoy | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-10 |
| 1871108613 | Jules Quentin Kennedy | Nurse Practitioner | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-09 |
| 1700490257 | Monica M Chan | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-02 |
| 1104437714 | Min Cui | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-17 |
| 1982215695 | Andrew Krogsgaard Mason | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1861003527 | Kyle James Hardwick | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1538785944 | Angela Prior | Social Worker | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-06-22 |
| 1841813128 | Jessica Eker | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306498621 | Michael Soucier | Nurse Anesthetist, Certified Registered | 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-07-16 |
| 1457847238 | Andrew Isaacs | Nurse Anesthetist, Certified Registered | Carl R. Darnall Army Medical Center, 36065 Sante Fe Ave., Fort Hood, TX 76544 | 2018-07-05 |
| 1295257897 | Ann Eun-joo Glynn | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-07-14 |
| 1336690841 | James Wilson | Nurse Anesthetist, Certified Registered | 36065 Sante Fe Ave, Carl R.darnall Army Medical Center, Fort Hood, TX 76544 | 2016-10-19 |
| 1740736016 | Cristal Ann Saenz | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave., Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2016-08-28 |
| 1477909026 | Douglas Mason Westbrook Jr. | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave, Darnall Army Medical Center, Fort Hood, TX 76544-5095 | 2016-05-12 |
| 1932583069 | James Alton Ard | Nurse Anesthetist, Certified Registered | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2015-07-18 |
| 1033593801 | Kenneth Gore | Nurse Anesthetist, Certified Registered | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2015-07-11 |
| 1932523917 | Tina Williams | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave, Fort Hood, TX 76544 | 2014-02-11 |
| 1942505961 | Orin J Kendall | Nurse Anesthetist, Certified Registered | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2011-01-22 |
| Find all providers in FORT HOOD | ||||
Please comment or provide details below to improve the information on JAMES CLIFFORD REVIS.
| 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.