MR. THOMAS J REVITTE (NPI# 1730139270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730139270 |
| Entity Type | Individual |
| Full Name | MR. THOMAS J REVITTE |
| Credential | NP |
| Practice Address |
5010 Gull Rd Ste A Kalamazoo MI 49048-1093 |
| Practice Telephone | 2692268800 |
| Practice Fax Number | 2692268804 |
| Mailing Telephone | 2692268800 |
| Mailing Fax Number | 2692268804 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704216398 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4546810 | 05 | |
| MI | BLUE CROSS & BLUE SHIELD | 50087018880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851513774 | Thomas Jacob Revitte | Pharmacist | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2007-05-02 |
| Street Address |
5010 GULL RD STE A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692532 | Jennifer Zachary | Nurse Practitioner | 6565 W Main St Ste 100, Kalamazoo, MI 49009-9144 | 2016-07-25 |
| 1407922560 | Donna K. Barry | Nurse Practitioner | 1116 Dwillard Dr, Kalamazoo, MI 49048-2259 | 2006-11-28 |
| 1326152083 | Isiriel Paulino | Nurse Practitioner | 601 John St # 74, Bronson Internal Medicine Specialist, Kalamazoo, MI 49007-5341 | 2006-08-19 |
| 1902316599 | Holly Dellinger | Nurse Practitioner | 601 John St # 71, Kalamazoo, MI 49007-5341 | 2017-10-09 |
| 1033652151 | Rebecca Jean Carter | Nurse Practitioner | 6220 W Main St, Kalamazoo, MI 49009 | 2016-11-21 |
| 1811384308 | Access Housecall | Nurse Practitioner | 3408 Miller Rd, Ste 369, Kalamazoo, MI 49001-4111 | 2015-04-22 |
| 1518356682 | Katrice Renee Woodward | Nurse Practitioner | 601 John Street, Box 74, Kalamazoo, MI 49007 | 2015-01-13 |
| 1891106902 | Steven Allan Jr. | Nurse Practitioner | 601 John St, Suite 206a, Kalamazoo, MI 49007-5341 | 2014-05-12 |
| 1780934810 | Sue Ann Wood | Nurse Practitioner | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2012-09-17 |
| 1144510777 | Rebecca Allen Jones | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2011-04-16 |
| Find all providers in KALAMAZOO | ||||
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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.