MRS. LAURA REVIERE (NPI# 1558769901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558769901 |
| Entity Type | Individual |
| Full Name | MRS. LAURA REVIERE |
| Credential | WHNP-BC |
| Practice Address |
353 New Shackle Island Rd Ste 221b Hendersonville TN 37075-2379 |
| Practice Telephone | 6158223880 |
| Mailing Telephone | 6158223880 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN0000165254 | TN | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APN0000019592 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
353 NEW SHACKLE ISLAND RD STE 221B |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1821442963 | Kaci Goodgame | Nutritionist | 353 New Shackle Island Rd, Suite 122 B, Hendersonville, TN 37075-2379 | 2016-04-14 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310446 | Dana Laney | Nurse Practitioner | 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 | 2017-07-26 |
| 1871978213 | Sarah Elizabeth Hatcher | Nurse Practitioner | 2011 Murphy Ave Ste 200, Nashville, TN 37203 | 2015-07-28 |
| 1750766382 | Emily Shaye Fitzpatrick | Nurse Practitioner | 420 College St, Lafayette, TN 37083-1750 | 2015-07-24 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
| 1730310228 | Harmony Family Health Care, LLC | Nurse Practitioner | 3401 John Mallette Dr, Nashville, TN 37218-2672 | 2009-07-31 |
| 1699811497 | Kelly Pfrommer | Nurse Practitioner | 6215 Humphreys Blvd Ste 401, Memphis, TN 38120-2382 | 2007-01-29 |
| 1164465522 | Nicole L Sandifer | Nurse Practitioner | 619 W 7th North St, Ste. F, Morristown, TN 37814-3954 | 2006-06-14 |
| 1073594263 | Stacey Kesterson | Nurse Practitioner | 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 | 2005-11-07 |
| 1609879592 | Samantha S Moody | Nurse Practitioner | 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on MRS. LAURA REVIERE.
| 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.