Individual provider Active NPI

Bianca Louise Revels

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1780321505
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Kandell Home Health Care LLC CurrentSince May 16, 2022 Accepting new patients

Locations

1771 E Flamingo Rd
Ste 215B
Las Vegas, NV 89119
Phone (702) 834-9260

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.