Joshua Revermann, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1511 Issued in MN

Practice address

2001 Stockinger Dr Ste 101
Saint Cloud, MN 56303-1243

Phone

(320) 200-3236

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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 and National Provider Directory roles.

• Relax and Recover Massage LLC

  • Massage Therapist
  • Sartell, MN
  • NPI 1922941905
  NPD (past)
• Sailer Family Chiropractic P.a.

  • Chiropractor
  • Sartell, MN
  • NPI 1255562435
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891097895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36208 COUNTY ROAD 4",
            "city": "SAINT JOESEPH",
            "state": "MN",
            "postal_code": "563744602",
            "telephone_number": "507-227-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STOCKINGER DR STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031243",
            "telephone_number": "320-200-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Pinecone Road",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563772503",
            "country_code": "US",
            "telephone_number": "320-253-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVERMANN",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "171040",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rest Care Homes Inc
• Restoring Hope Individual & Family Therapy LLC
• Elizabeth Tometich Reum, MSW
• Nathaniel P. Reuter, M.D.
• Nicholas F Reuter, MD
• Sara Suzanne Revier, C.N.S.
• Beth Elaine Rhoads
• Bobbi Lynn Rhodes, RN, BSN
• Nyakuech Rith Rial
• Maria Mercedes Riccardi, PSY D LP

• Acupuncturist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.