Lynne K Reveno, RN CNS

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

101852 Issued in MA

Practice address

1 W Foster St
Melrose, MA 02176-3810

Phone

(617) 957-7944

Fax

(781) 665-7543

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1053479733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOWVIEW RD",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762913",
            "telephone_number": "617-957-7944",
            "fax_number": "781-665-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FOSTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763810",
            "telephone_number": "617-957-7944",
            "fax_number": "781-665-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVENO",
        "first_name": "LYNNE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RN CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "101852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rathauser, LMHC
• Ellen Anna Rawnsley, RPH
• Redwood Acquisition East LLC
• Redwood Acquisition West LLC
• Cynthia L Reppucci
• Kelly Ann Reynolds, LICSW
• Rhonda S. Fogle, MD,PC
• Steve Richards
• Barbara S Rickards, DPM
• Robert Angorn DMD PC

• Adult Psychiatric/Mental Health Registered Nurse in Melrose, MA
• Providers in Melrose, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.