Active NPI
Bianca Louise Revels
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1780321505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1771 E Flamingo Rd Ste 215B
Las Vegas, NV 89119-5154 - Phone
- (702) 834-9260
- Fax
- (702) 337-2027
- NPI assigned
- May 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1771 E Flamingo Rd Ste 215B
Las Vegas, NV 89119-5154
Mailing address
1771 E Flamingo Rd Ste 215B
Las Vegas, NV 89119-5154
Phone (702) 834-9260
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | B.Reveles@Kandellhomehealthcare.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kandell Home Health Care LLC | Current | Accepting new patients |
Locations
1771 E Flamingo Rd
Ste 215B
Las Vegas, NV 89119
Phone (702) 834-9260
Interoperability endpoints
- b.reveles@kandellhomehealthcare.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Las Vegas, NV
- NPI 1689336877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1780321505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 E FLAMINGO RD STE 215B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195154",
"telephone_number": "702-834-9260",
"fax_number": "702-337-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 E FLAMINGO RD STE 215B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195154",
"telephone_number": "702-834-9260",
"fax_number": "702-337-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELS",
"first_name": "BIANCA",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "B.Reveles@Kandellhomehealthcare.org",
"affiliation": "N",
"endpointDescription": "VPN SECURED EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1771 E Flamingo Rd Ste 215B",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891195154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.