MS. JACQUELINE REVELLO (NPI# 1003084369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003084369 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE REVELLO |
| Other Name | MS. JACQUELINE DAVIS |
| Credential | MA, RN |
| Practice Address |
11115 W. Hwy 24, Unit 2c Divide CO 80814 |
| Mailing Address |
Po Box 214 682 Simba Point Divide CO 80814-0214 |
| Practice Telephone | 7196876416 |
| Mailing Telephone | 7196874224 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 163W00000X | Registered Nurse | RN0188325 | CO | Nursing Service Providers |
| Street Address |
11115 W. HWY 24, UNIT 2C |
| City | DIVIDE |
| State | CO |
| Zip Code | 80814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372152 | Lori Ptak | Registered Nurse | 11115 W Highway 24, Unit 2c, Divide, CO 80814 | 2017-12-19 |
| 1598140741 | Stacey Knapp | Dental Hygienist | 34 Hybrook Road, Divide, CO 80814 | 2015-07-29 |
| 1710287925 | Sunrise Medical Alerts LLC | Emergency Response System Companies | 101 Stephanie Pl, Divide, CO 80814 | 2010-10-22 |
| 1417191933 | Teller County Public Health | Public Health or Welfare | 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814 | 2009-04-28 |
| 1265677702 | Jody R Barger | Massage Therapist | 64 Grandview Circle, Divide, CO 80814 | 2008-12-12 |
| 1578720918 | Teller County Public Health | Public Health or Welfare | 11115 W Hwy 24 Rd, Unit 2c, Divide, CO 80814 | 2008-05-22 |
| 1851459242 | Deborah Martinez Cunningham | Dental Hygienist | 34 Hybrook Road -south, Divide, CO 80814 | 2006-12-05 |
| 1528136348 | Martha Diane Hubbard | Registered Nurse | 11115 Hwy 24, Unit 2 C, Divide, CO 80814 | 2006-12-01 |
| 1548337249 | Jennifer L Mccarthy | Physician Assistant | 34 Hybrook Rd South, Divide, CO 80814 | 2006-11-29 |
| 1104998822 | Teller County | Clinic/Center | 11115 W. Highway 24, Unit 2c, Divide, CO 80814 | 2006-11-15 |
| Find all providers in zip 80814 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372152 | Lori Ptak | Registered Nurse | 11115 W Highway 24, Unit 2c, Divide, CO 80814 | 2017-12-19 |
| 1487190260 | Karissa Smith | Registered Nurse | 11115 West Highway 24, Unit 2c, Divide, CO 80814-0928 | 2017-01-17 |
| 1346785839 | Norie Kirtley | Registered Nurse | 11115 W. Hwy 24, Unit 2c, Divide, CO 80814-0928 | 2016-12-20 |
| 1154837722 | Cheryl Maniak | Registered Nurse | 11115 W. Hwy. 24, Unit 2c, Divide, CO 80814-8081 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466764 | Kimberly Renee Baca | Registered Nurse | 7981 E 135th Ave, Thornton, CO 80602-8503 | 2020-10-27 |
| 1922607670 | Kyle Richard Dietz | Registered Nurse | 221 S Garfield St Unit 206, Denver, CO 80209-3192 | 2020-10-23 |
| 1013515600 | Julie Kissner | Registered Nurse | 607 25 Rd Ste 201, Grand Junction, CO 81505-1287 | 2020-10-15 |
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1174121073 | Katherine Rainie Campbell | Registered Nurse | 360 Peak One Dr # 230, Frisco, CO 80443-5948 | 2020-10-13 |
| 1114525227 | Emily Justice | Registered Nurse | 3702 High Ct, Wheat Ridge, CO 80033-6330 | 2020-10-12 |
| 1962009266 | Nahir Del Carmen Bailey | Registered Nurse | 4551 Bridle Pass Dr, Colorado Springs, CO 80923-9213 | 2020-10-08 |
| 1902413776 | Holly Laughlin | Registered Nurse | 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 | 2020-09-25 |
| 1447866264 | Christy Nguyen | Registered Nurse | 2914 S Zurich Ct, Denver, CO 80236-2039 | 2020-09-17 |
| 1609482546 | Amy Brundage Kinkade | Registered Nurse | 8095 Galileo Way, Littleton, CO 80125-1813 | 2020-09-16 |
| 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.