Revekeo Scott

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

908 Friarsgate Blvd
Irmo, SC 29063-2774

Phone

(803) 609-0992

Fax

(803) 407-6416

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1326438565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 FRIARSGATE BLVD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632774",
            "telephone_number": "803-609-0992",
            "fax_number": "803-407-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 FRIARSGATE BLVD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632774",
            "telephone_number": "803-609-0992",
            "fax_number": "803-407-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "REVEKEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Ann Sawyer, FNP-BC
• Say and Play, LLC
• Brook Trakas Schelble, RPT
• Sarah Marie Schumacher, DO
• Andrea Scott
• Shamika Glenetta Scott, L.P.C.
• Script RX Inc
• Brooke Scupp
• Thomas Gordon Seastrunk, DO
• Grant L Sebastiano, D.C.

• Case Manager/Care Coordinator in Irmo, SC
• Providers in Irmo, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.