Active NPI
Sarah Revels
- Speech-Language Pathologist
- Hopewell, VA
National Provider Identifier
1518517267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2204000217
- Practice address
- 103 N 12TH Ave
Hopewell, VA 23860-2310 - Phone
- (804) 541-6400
- NPI assigned
- Sep 15, 2019
- Last updated
- Sep 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204000217 | VA | Primary |
Addresses
Primary practice location
103 N 12TH Ave
Hopewell, VA 23860-2310
Mailing address
5004 Monument Ave Ste 104
Richmond, VA 23230-3629
Phone (804) 440-1489
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204000217 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Hopewell Public Schools | Past | Accepting new patients |
Locations
5004 Monument Ave
Ste 104
Richmond, VA 23230
Phone (804) 440-1489
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Richmond, VA
- NPI 1811573140
-
- Local Education Agency (LEA)
- Hopewell, VA
- NPI 1083938146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1518517267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5004 MONUMENT AVE STE 104",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303629",
"telephone_number": "804-440-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N 12TH AVE",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602310",
"telephone_number": "804-541-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-15",
"last_updated": "2019-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204000217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell, VA
- Pulmonary & Critical Care Associates of the Tri-Cities PC (Tri-Cities Medical Specialists PC)
- Srinivasa Reddy Punyala, MBBS
- Kathryn P Rainey, OTR/L
- Ashley Rawlings
- Renal Treatment Centers Mid Atlantic Inc (Hopewell Dialysis Center)
- John Wallin Reynolds, MD
- Hope Davis Richardson, LCSW
- Mark A Richter, M.D., M.P.H.
- Rite Aid of Virginia Inc (Rite Aid Pharmacy 00764)
- Rite Aid of Virginia Inc (Rite Aid Pharmacy 03705)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.