Jamea Ravenell, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

22-233875 Issued in SC

Practice address

2070 Northbrook Blvd Ste B4
North Charleston, SC 29406-9254

Phone

(843) 569-3033

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charleston Pediatric Rehabilitation

  • Occupational Therapist
  • North Charleston, SC
  • NPI 1649634593
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1235851072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE B4",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069254",
            "telephone_number": "843-569-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE B4",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069254",
            "telephone_number": "843-569-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENELL",
        "first_name": "JAMEA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "22-233875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoraj Ratnaraj, MD
• Loralyn Ratterree, SLP
• Ravenel OB-GYN
• Kevin Arthur Ravenel
• Audrey Ravenell
• Ashley Holland Ray
• Robert Reginald Ray, RPH
• Traci Monique Ray, RN
• Raymond S Vicente DMD LLC (Northside Family Dentistry)
• Megan Raymond, DPT

• Behavior Technician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.