Keyana Ravenell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

346516 Issued in NY

Practice address

155 Canal Landing Blvd Apt 636
Rochester, NY 14626-5118

Phone

(585) 203-7497

NPI assigned

Nov 4, 2024

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

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1750104345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CANAL LANDING BLVD APT 636",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265118",
            "telephone_number": "585-203-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CANAL LANDING BLVD APT 636",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265118",
            "telephone_number": "585-203-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENELL",
        "first_name": "KEYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "346516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Raub, LMSW
• Tammie Raucci, LCSW
• Naveed Rauf, MBBS
• Stephen Michael Rauh, M.D.
• Kristina Rauscher, LCSW-R
• Shakeema Ravenell
• Anjali Ravi, BDS
• Kevin Raville, M.D.
• Bernard Ravina, M.D.
• Shanchiya Ravindradas, M.D.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

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