EMILY A REVENSON (NPI# 1508026089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508026089 |
| Entity Type | Individual |
| Full Name | EMILY A REVENSON |
| Credential | PAC |
| Practice Address |
1603 Santa Rosa Rd Suite 101 Richmond VA 23229-5010 |
| Mailing Address |
1000 Boulders Pkwy Suite 102 Richmond VA 23225-5545 |
| Practice Telephone | 8043204243 |
| Practice Fax Number | 8046220552 |
| Mailing Telephone | 8043204243 |
| Mailing Fax Number | 8046220552 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110002789 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002789 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1603 SANTA ROSA RD SUITE 101 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858715 | James F Robinson | Specialist | 1603 Santa Rosa Rd, Ste 203, Richmond, VA 23229-5010 | 2005-06-01 |
| 1497171508 | Ashley Beavers | Nurse Practitioner | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2014-03-13 |
| 1619318870 | Jennifer P Peele | Nurse Practitioner | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2013-07-16 |
| 1407164379 | Barrett Lee Taylor | Physician Assistant | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2010-09-14 |
| 1104077056 | James F. Robinson, M.d., P.C. | Dermatology | 1603 Santa Rosa Rd, Suite 203, Richmond, VA 23229-5010 | 2008-10-08 |
| 1912910159 | Ara-forest Park Dialysis LLC | Clinic/Center | 1603 Santa Rosa Rd, Suite 100, Richmond, VA 23229-5010 | 2006-08-15 |
| 1326064163 | John R Warkentin | Internal Medicine | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2006-07-14 |
| 1194741934 | Richard M Hamrick IIi | Internal Medicine | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2006-07-14 |
| 1487670204 | George W Burke IIi | Internal Medicine | 1603 Santa Rosa Rd, Suite 101, Richmond, VA 23229-5010 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174888135 | Shurika Lydel Perry | Physician Assistant | 1533 Chester Blvd, Richmond, IN 47374-1914 | 2012-07-05 |
| 1164790234 | Allen Hunter Maxey | Physician Assistant | 1000 Boulders Parkway, Suite 102, Richmond, VA 23225 | 2011-12-05 |
| 1235416181 | Lauren Marie Richardson | Physician Assistant | 110 N Robinson Street, #400, Richmond, VA 23220 | 2011-11-07 |
| 1205087798 | Qurratulaen Khawaja-javaid | Physician Assistant | 10606 Comeaux Ln, Richmond, TX 77407-2503 | 2008-10-02 |
| 1669653960 | Sarah Elizabeth Meyers | Physician Assistant | 10710 Midlothian Tpke Ste 125, Richmond, VA 23235-4776 | 2007-11-15 |
| 1134268998 | Melodie V Radler Venturi | Physician Assistant | 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806-1949 | 2007-02-06 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1376584581 | Karen Lynn Mcmillan | Physician Assistant | 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-06-09 |
| 1790328623 | Tiffany Everett | Physician Assistant | 417 N 11th St, Richmond, VA 23298-5002 | 2019-10-23 |
| 1013559848 | Whitney Ann Whitaker | Physician Assistant | 789 Eastern Byp Ste 17, Richmond, KY 40475-2407 | 2019-10-14 |
| Find all providers in RICHMOND | ||||
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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.