Revelation Health & Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REVELATION HEALTH & WELLNESS LLC

Practice address

249 Olson Dr Ste 103
Papillion, NE 68046-2974

Phone

(712) 269-8177

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Brook Lapke

Title

Office Manager

Phone

(402) 715-4855

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20093/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1063072551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OLSON DR STE 103",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "402-715-4855",
            "fax_number": "402-916-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 OLSON DR STE 103",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "712-269-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "LAPKE",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-715-4855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabvisions Therapy Mo LLC
• Amanda Reinhardt
• Jessica L Rempe
• Bobbie Renkosiak
• Michelle Kay Renning
• Rosa Maria A Rey
• Lainie Reynolds
• Lynda Marie Reynolds
• David Leroy Rhode, LMHP
• Leonard Rhode

• Primary Care Clinic/Center in Papillion, NE
• Providers in Papillion, NE by specialty
• Primary Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.