Veronica Ruth Revell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-73628 Issued in NM

Practice address

224 DL Ingram Ave
Cannon Afb, NM 88101

Phone

(575) 784-2778

Fax

(575) 784-6458

NPI assigned

Mar 4, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1588462816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DL INGRAM AVE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-784-2778",
            "fax_number": "575-784-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 DL INGRAM AVE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-784-2778",
            "fax_number": "575-784-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "VERONICA",
        "middle_name": "RUTH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-73628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Phan, PSYD
• Jodi Lynn Post, P.A.
• Jessica Marie Pothast, PHARMD
• Jordan Ramil, LCSW
• Michael Alonso Ramirez, MD
• Keaton James Rider
• Kenneth Rivera, PHYSICIAN ASSISTANT
• Emma Robertson, DO
• Matthew R Rook
• Joketha Faith Ross, RN-BSN

• Registered Nurse in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.