KATHRYN ANNE REVELES (NPI# 1407850118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407850118 |
| Entity Type | Individual |
| Full Name | KATHRYN ANNE REVELES |
| Credential | P.N.P. |
| Practice Address |
9870 Gateway Blvd N Ste B7 El Paso TX 79924-4425 |
| Mailing Address |
7100 Westwind Dr Ste 310 El Paso TX 79912-1743 |
| Practice Telephone | 9157515245 |
| Practice Fax Number | 9157515255 |
| Mailing Telephone | 9155442455 |
| Mailing Fax Number | 9155443149 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
513440 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9870 GATEWAY BLVD N STE B7 |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031387 | Greater Dallas Healthcare Enterprises | Pediatrics | 9870 Gateway Blvd N, Ste. A, El Paso, TX 79924-4425 | 2016-01-26 |
| 1104299189 | Janeth Carolina Moldes | Nurse Practitioner | 9870 Gateway Blvd N, El Paso, TX 79924-4425 | 2015-11-12 |
| 1437585379 | O'meara Rosado, Dpm., Pllc | Podiatrist | 9870 Gateway Blvd N, B-7, El Paso, TX 79924-4425 | 2013-09-24 |
| 1386985125 | Helena H. Liptakova, Md., Pllc | Pediatrics | 9870 Gateway Blvd N, Suite B - 7, El Paso, TX 79924-4425 | 2013-03-04 |
| 1184865107 | Shirlina Lia Alcala | Nurse Practitioner | 9870 Gateway Blvd N, Suite B7, El Paso, TX 79924-4425 | 2009-03-20 |
| 1700077658 | Valerie Valdez | Physical Therapist | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2007-08-06 |
| 1275641292 | Jessica Rodriguez | Physical Therapist | 9870 Gateway Blvd N, Ste. B7, El Paso, TX 79924-4425 | 2006-08-29 |
| 1609882596 | Dempsey D Gordon | Family Medicine | 9870 Gateway Blvd N, Ste B-7, El Paso, TX 79924-4425 | 2006-07-31 |
| 1316930407 | Charles William Haegele | Optometrist | 9870 Gateway Blvd N, Suite B-4, El Paso, TX 79924-4414 | 2005-08-24 |
| 1306840970 | Magdalena Ramirez | Nurse Practitioner | 9870 Gateway Blvd N, Ste B7, El Paso, TX 79924-4425 | 2005-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994174 | Priscilla Aguilar-hernandez | Nurse Practitioner | 10870 Gateway Blvd N Ste B, El Paso, TX 79924-1802 | 2019-04-16 |
| 1639659337 | Idali Barraza Cooper | Nurse Practitioner | 11331 James Watt Dr Ste 600, El Paso, TX 79936-6401 | 2018-08-21 |
| 1619477809 | Stephanie Lynn Baldwin | Nurse Practitioner | 5036 Gold Ranch Ave, El Paso, TX 79934-2859 | 2018-02-14 |
| 1073048922 | Deborah Sample | Nurse Practitioner | 701 Nita Fay Dr, El Paso, TX 79912-1401 | 2017-04-28 |
| 1144751223 | Heather Louise Saucedo | Nurse Practitioner | 11577 James Grant Dr, El Paso, TX 79936-5417 | 2017-03-21 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1629437447 | Sandra Rebekah Flores | Nurse Practitioner | 2431 Pittsburg Ave, El Paso, TX 79930-1125 | 2016-02-22 |
| 1730547985 | Lourdes Guadalupe Alvarez | Nurse Practitioner | 1344 Backus St, El Paso, TX 79925-6605 | 2016-02-03 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1609272962 | Klaudia S. Gutierrez | Nurse Practitioner | 11026 Vista Del Sol Dr, El Paso, TX 79935-4314 | 2014-11-14 |
| Find all providers in EL PASO | ||||
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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.