Individual provider Active NPI

Luanne Reavley, RDH

  • Dental Hygienist
  • Chattanooga, TN
National Provider Identifier
1184375842
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH0000002995 Issued in TN
Practice address
1616 Gunbarrel Rd Ste 101
Chattanooga, TN 37421-4137
Phone
(423) 870-8787
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH0000002995 TN Primary

Addresses

Primary practice location

1616 Gunbarrel Rd Ste 101
Chattanooga, TN 37421-4137

Mailing address

PO Box 537
Sale Creek, TN 37373-0537
Phone (423) 593-2088

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH0000002995TNMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1184375842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373730537",
            "telephone_number": "423-593-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GUNBARREL RD STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214137",
            "telephone_number": "423-870-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVLEY",
        "first_name": "LUANNE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH0000002995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.