Deborah Revell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.09984-NP Issued in OH

Practice address

1683 Bronson Rd
Tallmadge, OH 44278-3040

Phone

(330) 958-2384

Fax

(330) 249-7227

NPI assigned

May 1, 2013

Last updated

Dec 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Deborah M Dixon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastroenterology Group Inc

  • Specialist
  • Akron, OH
  • NPI 1689670978
  NPD
• Mobile Medical Inc

  dba OnSight Health Care

  • Optometrist
  • Perrysburg, OH
  • NPI 1689620015
  NPD
• Mobile Medical, Inc.

  dba Onsight Health Care

  • Dentist
  • Perrysburg, OH
  • NPI 1629228572
  NPD
• Traveling Nurse Practitioner, LLC

  • General Practice Registered Nurse
  • Wadsworth, OH
  • NPI 1588995849
  NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner

  NPD
• Akron Digestive Disease Consultants, Inc

  • Gastroenterology Physician
  • Akron, OH
  • NPI 1366433351
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1366887507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 BRONSON RD",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442783040",
            "telephone_number": "330-958-2384",
            "fax_number": "330-249-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 BRONSON RD",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442783040",
            "telephone_number": "330-958-2384",
            "fax_number": "330-249-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6975 Promway Ave NW Ste C",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447207321",
            "country_code": "US",
            "telephone_number": "330-915-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVELL",
        "first_name": "DEBORAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.09984-NP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA09984NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "DIXON",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ciara Lynn Rauckhorst, PHARM.D.
• Elizabeth Engelmann Raven, PHARM.D.
• William T Reed, M.D.
• Reflections Breast Health Center
• Beth Reitz
• Brittany Morgan Reynolds, DPT
• Richard D Sparrow (Richard D Sparrow DPM)
• Sonya K Richards
• Jessica Riggs, FNP-BC
• Valeshia Rings

• Nurse Practitioner in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.