Individual provider Active NPI

Denise Moore Revel, MS

  • Speech-Language Pathologist
  • Greenbelt, MD
National Provider Identifier
1013231364
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
03882 Issued in MD
Practice address
7909 Belle Point Dr
Greenbelt, MD 20770-3329
Phone
(866) 570-0442
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03882 MD Primary

Addresses

Primary practice location

7909 Belle Point Dr
Greenbelt, MD 20770-3329

Mailing address

14625 Baltimore Ave
Suite 864
Laurel, MD 20707-4902
Phone (866) 570-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504006297 DC Practitioner - Qualified Speech Language Pathologist 4183192628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14625 Baltimore Ave
Suite 864
Laurel, MD 20707-4902

6196 Oxon Hill Rd
Suite 120
Oxon Hill, MD 20745-3101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03882MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Communication Connections Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1013231364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 BALTIMORE AVE",
            "address_2": "SUITE 864",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074902",
            "telephone_number": "866-570-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703329",
            "telephone_number": "866-570-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE REVEL",
        "first_name": "DENISE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.