Michelle Reveles

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

695448 Issued in CA

Practice address

44447 10TH St W
Lancaster, CA 93534-3324

Phone

(661) 726-2630

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1285264226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38332 MAUREEN ST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44447 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-726-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "695448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Reta
• Victoria Reti, MFT
• Retina Institute of California Medical Group, a California Medical Par
• Colin A Reuben Jr.
• Rachel Revai
• Ruby Reyes Mercado
• Nestor Reyes-Ramirez
• Agnes Reyes
• Angie Reyes
• Cecilia Janet Reyes

• Licensed Vocational Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.