Katie Revels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1797 Issued in NE

Practice address

333 N Spruce St Ste 101
Valley, NE 68064-9605

Phone

(402) 640-1943

NPI assigned

May 7, 2014

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

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Valley Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Valley, NE
  • NPI 1427565688
  Medicare reassignment NPD Authorized official
• Millard Family Chiropractic of Papillion LLC

  • Chiropractor
  • Papillion, NE
  • NPI 1942851100
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1447660790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680640339",
            "telephone_number": "531-200-5842",
            "fax_number": "531-213-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SPRUCE ST STE 101",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649605",
            "telephone_number": "402-640-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 S 76th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681241559",
            "country_code": "US",
            "telephone_number": "402-933-7944",
            "fax_number": "402-933-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16831 Lakeside Hills Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681302322",
            "country_code": "US",
            "telephone_number": "402-934-7557",
            "fax_number": "402-934-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVELS",
        "first_name": "KATIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Phillips, ED.S.
• Mary Phillips, RN
• Physician Homecare Associates
• Physicians Clinic, Inc.
• Aidan Remmick
• Frank J Riha IV, DDS
• Shawn Rochford
• Reagan E Rosenberg
• Carrie Royal
• Lindsay Schurman

• All providers in Valley, NE
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.