Sandy Revens, RN, BSN, B-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-080472 Issued in AL

Practice address

2637 Eastern Blvd
Montgomery, AL 36117-1509

Phone

(334) 409-9090

Fax

(334) 409-9669

NPI assigned

Apr 30, 2014

Last updated

Apr 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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

• Alabama Psychiatric Services PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1033159306
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1023428091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 ACTON ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-968-8360",
            "fax_number": "205-968-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171509",
            "telephone_number": "334-409-9090",
            "fax_number": "334-409-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVENS",
        "first_name": "SANDY",
        "credential": "RN, BSN, B-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-080472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respite Care Foundation
• Restore Therapy Center, LLC
• Resurrection Catholic Missions of the South, Inc
• Evan Calloway Retherford, OTR/L
• Retina Specialists of Alabama in Montgomery LLC
• Vishnu Rajan Revish
• Revita Therapy & Wellness
• Carlos Alberto Reyes-Sacin, MD
• Anthony Reynolds, LPC
• Carol Reynolds

• Registered Nurse in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.