DR. JACQUELINE M REVEAL (NPI# 1447771704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447771704 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE M REVEAL |
| Credential | DNP, FNP-BC |
| Practice Address |
5111 N Scottsdale Rd Ste 150 Scottsdale AZ 85250-7075 |
| Mailing Address |
28515 N North Valley Pkwy Apt 3076 Phoenix AZ 85085-5425 |
| Practice Telephone | 4809701937 |
| Practice Fax Number | 4809701938 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP9967 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5111 N SCOTTSDALE RD STE 150 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85250-7075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800675 | Courtney A. Hunt | Obstetrics & Gynecology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2005-06-09 |
| 1932764123 | Womens Ultrasound Services, LLC | Radiology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2019-05-03 |
| 1790752459 | David A. Nyberg | Radiology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7008 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437671518 | Daniel Gold | Dentist | 5900 N Granite Reef Rd Ste 100, Scottsdale, AZ 85250 | 2017-07-11 |
| 1417494584 | Clinical Logistics Solutions-southern Arizona, LLC | Physical Therapist | 6619 N Scottsdale Rd # 8, Scottsdale, AZ 85250 | 2017-01-26 |
| 1558815027 | Michelle Nicole Serrano | Optometrist | 8940 E Talking Stick Way # B3, Scottsdale, AZ 85250 | 2016-08-12 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1548624562 | Wesley Hartman | Physical Therapy Assistant | 8115 E. Indian Bend Rd, Scottsdale, Scottsdale, AZ 85250 | 2016-04-06 |
| 1255752838 | Isaac Yosef | Naturopath | 5011 N. Granite Reef Rd., Scottsdale, AZ 85250 | 2013-12-26 |
| 1265863393 | John N. Simons | Plastic Surgery | 4800 North 68th Street, Scottsdale, AZ 85250 | 2013-11-27 |
| 1992046932 | Shannon Marie Fore | Counselor | 7500 E Mcdonald Dr Ste 400a, Scottsdale, AZ 85250 | 2013-03-14 |
| 1871892703 | Lamar Day Spa LLC | Reflexologist | 5115 N Scottsdale Rd, Scottsdale, AZ 85250 | 2011-03-17 |
| 1316267412 | Eileen Susan Ballungay | Occupational Therapist | 8115 E. Indian Bend Rd., Ste 123, Scottsdale, AZ 85250 | 2010-06-11 |
| Find all providers in zip 85250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029700 | Kayla Renee Pokrzywinski | Nurse Practitioner | 15425 N Greenway Hayden Loop Ste 300, Scottsdale, AZ 85260-1204 | 2020-09-27 |
| 1609483486 | Emma May | Nurse Practitioner | 26804 N 70th Pl, Scottsdale, AZ 85266-8824 | 2020-09-25 |
| 1326654674 | Nidhi Singh | Nurse Practitioner | 10842 N 127th Pl, Scottsdale, AZ 85259-4330 | 2020-09-22 |
| 1710592720 | Kelly T Dowden | Nurse Practitioner | 7135 E Camelback Rd Ste 205, Scottsdale, AZ 85251-1290 | 2020-09-15 |
| 1770198020 | Steve Joseph Csanyi | Nurse Practitioner | 812 N 87th St, Scottsdale, AZ 85257-4513 | 2020-09-14 |
| 1770196271 | Amanda Marie Callahan | Nurse Practitioner | 3031 N Civic Center Plz Unit 219, Scottsdale, AZ 85251-7907 | 2020-08-25 |
| 1275143778 | Maryam Abdishoo | Nurse Practitioner | 15095 N Thompson Peak Pkwy Unit 2005, Scottsdale, AZ 85260-2878 | 2020-08-09 |
| 1235748849 | Karen Marie Marshall | Nurse Practitioner | 5644 E Saint John Rd, Scottsdale, AZ 85254-6413 | 2020-07-29 |
| 1386261907 | Nicole Farnsworth | Nurse Practitioner | 2935 N 68th St Unit 215, Scottsdale, AZ 85251-6868 | 2020-06-30 |
| 1114543865 | Amanda Rae Canizales | Nurse Practitioner | 33747 N Scottsdale Rd Ste 135, Scottsdale, AZ 85266-1566 | 2020-06-18 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85250 |
Please comment or provide details below to improve the information on DR. JACQUELINE M REVEAL.
| 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.