STEPHANIE M REVELS MD PA (NPI# 1427350339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427350339 |
| Entity Type | Organization |
| Organization Name | STEPHANIE M REVELS MD PA |
| Practice Address |
8249 W 95 Th Street Suite 108 Overland Park KS 66212-3200 |
| Mailing Address |
8249 W 95th St Suite 108 Overland Park KS 66212-3217 |
| Practice Telephone | 9134845052 |
| Mailing Telephone | 9134845052 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | STEPHANIE M REVELS (PHYSICIAN) |
| Authorized Official Telephone | 9134845052 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 0428042 | KS | Managed Care Organizations |
| Street Address |
8249 W 95 TH STREET SUITE 108 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| 1811276405 | Evergreen Wellnes Center | Point of Service | 9235 E Harry St, Wichita, KS 67207-5073 | 2011-08-12 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1902023732 | Eyeworks Eyewear Shoppe | Point of Service | 245 N Hillside St, Wichita, KS 67214-4903 | 2007-04-20 |
| 1003958273 | Haven Supports, LLC | Point of Service | 920 E 8th St, Pittsburg, KS 66762-4302 | 2007-02-13 |
| 1871948497 | Sttt Dental Services LLC Corp | Point of Service | 120 W Osage St, Sedan, KS 67361-1518 | 2016-05-02 |
| 1669856720 | Emerald Senior Living | Point of Service | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-07-17 |
| 1528454220 | Synatec Neuro, Inc | Point of Service | 4601 E Douglas Ave, Suite 116, Wichita, KS 67218-1031 | 2015-04-09 |
| 1124386529 | Kaw Valley Hearing LLC | Point of Service | 1520 Wakarusa Dr, Suite B, Lawrence, KS 66047-1802 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
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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.