Reveal Medspa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVEAL MEDSPA

Doing business as

Reveal Medical Spa

Practice address

814 S 1040 W
Payson, UT 84651-4614

Phone

(385) 551-2929

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chantelle Elmer, NPNPI 1770149528

Title

Owner/Provider

Phone

(801) 367-6049

Specialties & licenses 2

Addresses

Other names 1

• Reveal Medical Spa Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chantelle Lena Elmer, DNP

  • Acute Care Nurse Practitioner
  • Payson, UT
  • NPI 1770149528
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1336988476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 S 640 E",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511628",
            "telephone_number": "801-367-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S 1040 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "385-551-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-367-6049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reveal Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joshua Alan Reitz, DO
• Chase Richards, CPPS
• Ridley's Family Markets, Inc (Payson Market Pharmacy #1196)
• Lindsay Riggs
• Jesse Ellsworth Riley, D.P.M.
• Rise Physical Therapy

• Clinic/Center in Payson, UT
• Providers in Payson, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.