Reva Lynette Adams, PEER SUPPORT SPECI
Individual provider Active NPI Peer Specialist · Louisville, KY
NPI 1114757002 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1114757002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 2109 Schaffner Ave
Louisville, KY 40210-2248 - Phone
- (502) 214-7825
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
2109 Schaffner Ave
Louisville, KY 40210-2248
Mailing address
2109 Schaffner Ave
Louisville, KY 40210-2248
Phone (502) 214-7825
Other providers in Louisville, KY
- Michael Dennis Adams
- Morgan Jane Adams
- Paul A Adams
- Rebecca Adams
- Rebecca M. Adams
- Robert Adams
- Savannah Alexis Adams
- Shawn William Adams
- Stacy Layne Adams
- Tanner Dee Adams
All providers in Louisville, KY · Peer Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.