Individual provider Active NPI

Samantha Elizabeth Reavell, AUD

  • Audiologist
  • Exton, PA
National Provider Identifier
1104114297
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006219 Issued in PA
Practice address
80 W Welsh Pool Rd
Exton, PA 19341-1233
Phone
(610) 363-2532
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006219 PA Primary

Addresses

Primary practice location

80 W Welsh Pool Rd
Exton, PA 19341-1233

Mailing address

111 Arrandale Blvd
Exton, PA 19341-2503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120329000623 PA Practitioner - Qualified Audiologist 7416117353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates of Chester CountyGroup PAC ID 9234113572, 16 clinicians

Practice addresses (Care Compare)

111 Arrandale Blvd
Exton, PA 19341-2503
Phone (610) 363-2532

200 Willowbrook LN
Suite 240
West Chester, PA 19382-5697
Phone (610) 363-2532

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1104114297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARRANDALE BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W WELSH POOL RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233",
            "telephone_number": "610-363-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVELL",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.