Individual provider Active NPI

Reva Matthiew Robinson, MBA

  • Non-emergency Medical Transport (VAN)
  • Marshall, TX
National Provider Identifier
1437612801
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
505 E Travis St
Marshall, TX 75670-4258
Phone
(281) 223-6191
NPI assigned
Apr 11, 2019
Last updated
Jan 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

505 E Travis St
Marshall, TX 75670-4258

Mailing address

PO Box 5454
Shreveport, LA 71135-5454
Phone (318) 218-5543

Other practice location 1

17594 Longwood Trace Ln
New Caney, TX 77357-2986
Phone (318) 218-5543

Other names 1

  • Reva Latisha Matthiew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1437612801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5454",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355454",
            "telephone_number": "318-218-5543",
            "fax_number": "318-625-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E TRAVIS ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756704258",
            "telephone_number": "281-223-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17594 Longwood Trace Ln",
            "address_purpose": "LOCATION",
            "city": "New Caney",
            "state": "TX",
            "postal_code": "773572986",
            "country_code": "US",
            "telephone_number": "318-218-5543",
            "fax_number": "318-625-0638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "REVA",
        "middle_name": "MATTHIEW",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REVA",
            "last_name": "MATTHIEW",
            "middle_name": "LATISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.