Kelly Marie Reavis, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2627 Issued in CA

Practice address

5842 E Naples PLZ
Long Beach, CA 90803-5039

Phone

(562) 439-9539

Fax

(562) 439-2232

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Riverview Hearing Speech and Language Center

  dba AudioLogics / Riverview Hearing, Speech & Language Centers

  • Audiologist
  • Lakewood, CA
  • NPI 1598854846
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1467618991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E OCEAN BLVD",
            "address_2": "#207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024761",
            "telephone_number": "503-970-6691",
            "fax_number": "562-439-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 E NAPLES PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035039",
            "telephone_number": "562-439-9539",
            "fax_number": "562-439-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST LICENSE",
            "identifier": "2627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Reach
• Ebony Reado, LCSW
• Ready Now Staffing Corporation
• Mybelle Lapidario Reamer
• Crystal Reaves
• Nicholas Mahoney Rebel, AMFT
• Sandra Rebolledo, LCSW
• Eunice R Recasas, NP
• Jacquelyn Marie Recendez, NP
• Recharge Physical Therapy, Inc

• Audiologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.