Catherine W Reavis, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP108269 Issued in TX

Practice address

110 R T Stanley Sr PL
Lyons, GA 30436

Phone

(912) 526-9355

Fax

(912) 526-4783

NPI assigned

Aug 29, 2005

Last updated

Jun 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Pediatric Specialists LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1073046397
  NPD (past)
• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290
  NPD (past)
• R T Stanley Health Center LLC

  • Rural Health Clinic/Center
  • Lyons, GA
  • NPI 1790778736
  NPD (past)
• Wheeler County Family Medicine

  • Family Medicine Physician
  • Vidalia, GA
  • NPI 1033314711
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1750374336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 R T STANLEY SR PL",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "30436",
            "telephone_number": "912-526-9355",
            "fax_number": "912-526-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 R T STANLEY SR PL",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "30436",
            "telephone_number": "912-526-9355",
            "fax_number": "912-526-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "CATHERINE",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN155029 NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP108269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Mosley, RPH
• Ben B Neely, MD
• Nurses Plus II, Inc.
• Quality Health Services, Inc.
• R T Stanley Health Center LLC
• Redirection Inc
• Brian Rickard, PHARMD
• Brandy W Sikes, P.A.-C
• Smiles P.C.
• Standing Ovation Service & Supply LLC (Owens Hair & Scalp Restoration)

• Nurse Practitioner in Lyons, GA
• Providers in Lyons, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.