Mary Reviea, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

152486 Issued in TX

Practice address

1700 S Lamar Blvd
Building 1 Suite 101
Austin, TX 78704-3360

Phone

(512) 445-7787

Fax

(512) 440-4059

NPI assigned

Nov 13, 2018

Sex

Female

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1710456314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 S 13TH ST APT 625",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047815",
            "telephone_number": "254-780-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S LAMAR BLVD",
            "address_2": "BUILDING 1 SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043360",
            "telephone_number": "512-445-7787",
            "fax_number": "512-440-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 S 13th St Apt 625",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765047815",
            "country_code": "US",
            "telephone_number": "254-780-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVIEA",
        "first_name": "MARY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "152486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Austin, TX
• Providers in Austin, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.