Tonya Evette Revelle

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

26NR24248900 Issued in NJ

Practice address

5034 Atlantic Ave
Mays Landing, NJ 08330-2022

Phone

(609) 782-0005

NPI assigned

Oct 28, 2024

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

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1336961655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PICKWICK DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941989",
            "telephone_number": "609-481-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 ATLANTIC AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302022",
            "telephone_number": "609-782-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELLE",
        "first_name": "TONYA",
        "middle_name": "EVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR24248900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Psychiatric/Mental Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.