MS. JOHANNAH RUTH REVELLE (NPI# 1558793828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558793828 |
| Entity Type | Individual |
| Full Name | MS. JOHANNAH RUTH REVELLE |
| Credential | CNIM, R. EPT. |
| Practice Address |
25 Highland Park Vlg Suite 100-225 Dallas TX 75205-2789 |
| Practice Telephone | 2145361647 |
| Practice Fax Number | 9726252884 |
| Mailing Telephone | 2145361647 |
| Mailing Fax Number | 9726252884 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
25 HIGHLAND PARK VLG SUITE 100-225 |
| City | DALLAS |
| State | TX |
| Zip Code | 75205-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008560 | David Allen Sheppard | Nurse Anesthetist, Certified Registered | 25 Highland Park Vlg, Suite 100765, Dallas, TX 75205-2789 | 2006-01-20 |
| 1912350976 | Stratus Dominion Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 25 Highland Park Vlg, Suite 100765, Dallas, TX 75205-2789 | 2016-07-14 |
| 1922432251 | Rajasekhar Byrapureddy | Specialist/Technologist, Other | 25 Highland Park Vlg, Suite 100-225, Dallas, TX 75205-2789 | 2013-08-22 |
| 1720359656 | Sadaf Nicole Owens | Technician, Other | 25 Highland Park Vlg, Suite 100-225, Dallas, TX 75205-2789 | 2012-01-24 |
| 1104104553 | Peter Buhay | Specialist/Technologist, Other | 25 Highland Park Vlg, Ste 100-225, Dallas, TX 75205-2789 | 2011-08-02 |
| 1053633107 | Matthew Randall Weyhe | Specialist/Technologist, Other | 25 Highland Park Vlg, Ste 100-225, Dallas, TX 75205-2789 | 2010-02-17 |
| 1255567954 | Megan H Roberts | Specialist/Technologist, Other | 25 Highland Park Vlg, Suite 100-225, Dallas, TX 75205-2789 | 2009-06-09 |
| 1336390095 | Georgi Novakov | Specialist/Technologist, Other | 25 Highland Park Vlg, Ste 100-225, Dallas, TX 75205-2789 | 2008-09-30 |
| 1205086808 | Stratus Anesthesia Associates Dallas Pllc | Nurse Anesthetist, Certified Registered | 25 Highland Park Vlg, Ste 100765, Dallas, TX 75205-2789 | 2008-09-19 |
| 1619142395 | Johnny Charles Partridge | Specialist/Technologist, Other | 25 Highland Park Vlg, Ste 100-225, Dallas, TX 75205-2789 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298337 | Nap Diagnostics, Pllc | Electrodiagnostic Medicine | 4514 Cole Avenue Suite 600, Dallas, TX 75205 | 2019-11-04 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1780016857 | Heather Gano, Md, Pllc | Anesthesiology | 4447 N Central Expy Suite 110 #264, Dallas, TX 75205 | 2013-07-31 |
| 1134463961 | Dallas Emergency Dental | Dentist | 3001 Knox Ste. # 300 B, Dallas, TX 75205 | 2012-11-16 |
| 1982957270 | Ziba Tarighi Tarighi | Physician Assistant | 3414 Milton, University Park, TX 75205 | 2012-10-24 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1063746006 | Andrew W Randall Dds & Assoicates, PC | Dentist | 6805 Hillcrest Avenue, Suite 218, Dallas, TX 75205 | 2009-09-23 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| Find all providers in zip 75205 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667746 | Applied Intraoperative Care Technology | Specialist/Technologist, Other | 25 Highland Park Vlg # 100-469, Dallas, TX 75205-2789 | 2019-12-30 |
| 1366975450 | Kaitlyn Friese | Specialist/Technologist, Other | 5339 Alpha Rd Ste 450, Dallas, TX 75240-7306 | 2017-04-06 |
| 1275985277 | Physicians Interest, Lp | Specialist/Technologist, Other | 6125 Luther Ln # 175, Dallas, TX 75225-6202 | 2016-07-01 |
| 1588039788 | Douglas Yang | Specialist/Technologist, Other | 4849 Greenville Ave Ste 1125, Dallas, TX 75206-4155 | 2015-12-14 |
| 1003200544 | Jamie Rebekah Pearson | Specialist/Technologist, Other | 6437 South Point Dr., Dallas, TX 75248 | 2015-03-23 |
| 1205228293 | Samira Naim | Specialist/Technologist, Other | 3100 Monticello Ave Ste 210, Dallas, TX 75205-3442 | 2015-02-27 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1235541509 | Revolution Monitoring | Specialist/Technologist, Other | 6437 Southpoint Dr, Dallas, TX 75248-2109 | 2014-05-21 |
| 1376884023 | Joseph Sangillo | Specialist/Technologist, Other | 17717 Vail St, Apt 1316, Dallas, TX 75287-6400 | 2013-03-05 |
| 1851657308 | Pinnacle Diagnostics, Pllc | Specialist/Technologist, Other | 6119 Greenville Avenue, #358, Dallas, TX 75206 | 2012-04-10 |
| Find all providers in DALLAS | ||||
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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.