Active NPI
Zoie Alexandra Reviere, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Johns Island, SC
National Provider Identifier
1679259204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 27501
- Practice address
- 3227 Walter Dr Ste 1B
Johns Island, SC 29455-8171 - Phone
- (843) 872-5454
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 27501 | SC | Primary |
Addresses
Primary practice location
3227 Walter Dr Ste 1B
Johns Island, SC 29455-8171
Mailing address
802 Porcari St
Charleston, SC 29412-4991
Phone (864) 529-7598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3227 Walter Dr
Suite 1B
Johns Island, SC 29455-8161
Phone (843) 872-5454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27501 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uderitz Family Psychiatry, LLC | Current | Accepting new patients |
Locations
3227 Walter Dr
Ste B
Johns Island, SC 29455
Phone (843) 572-5454
3227 Walter Dr
Ste 1B
Johns Island, SC 29455
Phone (843) 872-5454
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Johns Island, SC
- NPI 1477077329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1679259204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 PORCARI ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124991",
"telephone_number": "864-529-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 WALTER DR STE 1B",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558171",
"telephone_number": "843-872-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVIERE",
"first_name": "ZOIE",
"middle_name": "ALEXANDRA",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "27501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.