Revise Wellness Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REVISE WELLNESS SERVICES

Practice address

17806 Ih 10 W Ste 300
San Antonio, TX 78257-8222

Phone

(210) 953-8566

Fax

(830) 264-8021

NPI assigned

Mar 28, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ciddet R Abrahams, DNP RN PMHNP-BCNPI 1740742501

Title

Corporate Officer

Phone

(210) 953-8566

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ciddet Ricardo Abrahams Jr., DNP, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1740742501
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1760233860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "210-953-8566",
            "fax_number": "830-264-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "210-953-8566",
            "fax_number": "830-264-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISE WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMS",
        "authorized_official_first_name": "CIDDET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "210-953-8566",
        "authorized_official_credential": "DNP RN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Rose Revere, MA
• Edmundo Reveron-Questell, MD MPH
• Imelda Ramirez Reveron, MA, CLINICIAN
• Revilla Capital Group, LLC (Bright Day Home Care)
• Danya Yrais Revilla, CCC-SLP
• Revitalizing Minds Therapy Solutions
• Revival Performance Physical Therapy
• Revived Beauty LLC (Her Power Rx Health Solutions)
• Revolution Mental Health Counseling, PLLC
• Revolution Physical Therapy & Wellness

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

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