Stephanie Reveles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5959 Gateway Blvd W Ste 540
El Paso, TX 79925-3395

Phone

(915) 455-7150

NPI assigned

Nov 18, 2024

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

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1740005503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 GENE TORRES DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 540",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253395",
            "telephone_number": "915-455-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retis Dental PLLC
• Guillermo Alessandro Retis, DMD
• Return to Function, PLLC
• Destany Ann Reuter
• Kathryn Anne Reveles, P.N.P.
• Rodolfo Manuel Revilla
• Revive Global PLLC
• Revive Home Care Inc.
• Revive Home Care Inc.
• Revive Medical, PLLC

• Case Manager/Care Coordinator in El Paso, TX
• Providers in El Paso, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.