MS. LANIN REVIERE


Address: Bay Colony Pediatrics, 2251 F.m. 646 Rd W Suite #155, Dickinson, TX 77539
Phone: 2816142445

MS. LANIN REVIERE (NPI# 1598919441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598919441
Entity Type Individual
Full Name MS. LANIN REVIERE
Other Name MS. LANIN REVIERE
Credential MSN, CRNP PNP-BC
Practice Address Bay Colony Pediatrics
2251 F.m. 646 Rd W Suite #155
Dickinson
TX 77539
Mailing Address 7373 Ardmore St
Apt 204
Houston
TX 77054-4213
Practice Telephone 2816142445
Mailing Telephone 2816980609
Enumeration Date 2008-11-05
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP121836 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address BAY COLONY PEDIATRICS
2251 F.M. 646 RD W SUITE #155
City DICKINSON
State TX
Zip Code 77539

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City DICKINSON
Zip Code 77539

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Dataset Information

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.

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