Individual provider Active NPI

Reva Shae Flener

  • Registered Nurse
  • Central City, KY
National Provider Identifier
1124931399
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1143979 Issued in KY
Practice address
305 N 6TH St
Central City, KY 42330-1224
Phone
(270) 608-1566
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1143979 KY Primary

Addresses

Primary practice location

305 N 6TH St
Central City, KY 42330-1224

Mailing address

305 N 6TH St
Central City, KY 42330-1224
Phone (270) 608-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1124931399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 6TH ST",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301224",
            "telephone_number": "270-608-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 6TH ST",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301224",
            "telephone_number": "270-608-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLENER",
        "first_name": "REVA",
        "middle_name": "SHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1143979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.