Jacqueline M Reveal, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9967 Issued in AZ

Practice address

5111 N Scottsdale Rd Ste 150
Scottsdale, AZ 85250-7075

Phone

(480) 970-1937

Fax

(480) 970-1938

NPI assigned

Jun 27, 2017

Last updated

Feb 14, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Scottsdale OB & GYN Specialists P.C.

  dba Vitality MDs

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1386848075
  Medicare reassignment NPD
• Womens Ultrasound Services, LLC

  • Diagnostic Ultrasound Physician
  • Scottsdale, AZ
  • NPI 1932764123
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1447771704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28515 N NORTH VALLEY PKWY APT 3076",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507075",
            "telephone_number": "480-970-1937",
            "fax_number": "480-970-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVEAL",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison E.F. Reuter, PHD IN PSYCHOLOGY
• Andrew Michael Reuter, MD
• Jordan Reuter, PMHNP-BC
• Revati Mummaneni MD PLLC
• Revea Rheumatology, PLLC
• Revitalis LLC
• Dana Marie Reyes, PHARMD
• Daniella Andrea Reyes
• Vanessa Reyes, R.N.
• Andrea Rose Reyhons

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.