Revive-

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

REVIVE-

Practice address

9450 Pinecroft Dr
The Woodlands, TX 77380-3220

Phone

(262) 510-3784

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lafreddria A HannibleNPI 1982469292

Title

Director

Phone

(262) 510-3784

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lafreddria Hannible

  • Secured Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1982469292
  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1013755412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 N 72ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161033",
            "telephone_number": "262-510-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 PINECROFT DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803220",
            "telephone_number": "262-510-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE-",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HANNIBLE",
        "authorized_official_first_name": "LAFREDDRIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-510-3784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reve Dermatology and Aesthetics PLLC
• Reverse Cardiodiabetes Center PLLC
• Jacqueline Hernandez Rew, M ED MS CCC SLP
• Graciela Reyes-McDonald, LP
• Andres E Reyes, M.D.
• Cleary Reyes
• John Reyes, RN, MSN, ACNP

• Secured Medical Transport (VAN) in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.