Joan Musiimenta Reveles

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

130 Brooke Ave Apt 510
Norfolk, VA 23510-1844

Phone

(512) 949-1083

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1548174626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROOKE AVE APT 510",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BROOKE AVE APT 510",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101844",
            "telephone_number": "512-949-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "JOAN",
        "middle_name": "MUSIIMENTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina & Vitreous Center PC (Wagner Kapoor Institute)
• Retina Group of Tidewater PC
• Retinal Consultants Inc (mark j mccarthy md)
• Christopher Raphael Rettenmaier, MD
• Nicholas Battista Rettenmaier, MD
• Bonnie Caukins Revelle, MD
• Revitalize Behavioral Services, LLC
• Revitalize Function LLC
• Rewired Canvas Psychotherapy LLC
• Amber Lynn Reyes, PA

• Surgical Assistant in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.