Raeven Steele Reivers, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003186 Issued in NY

Practice address

434 Main St
New Rochelle, NY 10801-6410

Phone

(845) 825-6947

NPI assigned

Aug 16, 2017

Last updated

Aug 16, 2017By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1548786031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DERBY CIR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016410",
            "telephone_number": "845-825-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIVERS",
        "first_name": "RAEVEN",
        "middle_name": "STEELE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn R Reich, CCC-SLP
• Dominic Reid, LMSW
• Jacqueline Reid, LMSW
• Anthony Joseph Reino, MD
• Germaine J Reitman
• Kristina Remy
• Penny Resnick-Graulich, DMD
• Elliot Resnick, M.A.
• Retina Associates of New York, P.C.
• Starr R Rexdale, M.D.

• Athletic Trainer in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.