Reba Revan, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

241 Dean Rd
Greer, SC 29651-7451

Phone

(803) 240-2942

Fax

(888) 329-6432

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Asap 1 Inc

  • Surgical Technologist
  • Greer, SC
  • NPI 1568586840
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1790809069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DEAN RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517451",
            "telephone_number": "803-240-2942",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 DEAN RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517451",
            "telephone_number": "803-240-2942",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAN",
        "first_name": "REBA",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Reid, O.D.
• Tara Andrea Reiss, PA-C
• Renascence in Home Care
• Resilient Roots Chiro LLC
• Restoration Path Home Care Services, LLC
• Drew Reynolds, RN
• Edward Hammond Reynolds Jr., B.S.
• Nicole Marie Reynolds, P.A.
• Christopher John Richards, PA-C
• Clara Richards

• Surgical Technologist in Greer, SC
• Providers in Greer, SC by specialty
• Surgical Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.