NPIMap

Organization Active NPI

Rvlwf Michigan PLLC

  • Multi-Specialty Clinic/Center
  • Novi, MI
National Provider Identifier
1891453684
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RVLWF MICHIGAN PLLC
Practice address
42450 W 12 Mile Rd Ste 105
Novi, MI 48377-3011
Phone
(248) 970-1340
Fax
(833) 673-0185
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Kathryn Walker, APRN CRNANPI 1447671235
Title
Ceo
Phone
(865) 392-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

42450 W 12 Mile Rd Ste 105
Novi, MI 48377-3011

Mailing address

10608 Flickenger LN
Knoxville, TN 37922-3485
Phone (865) 392-6262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1891453684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 FLICKENGER LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223485",
            "telephone_number": "865-392-6262",
            "fax_number": "865-674-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD STE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773011",
            "telephone_number": "248-970-1340",
            "fax_number": "833-673-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RVLWF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-392-6262",
        "authorized_official_credential": "APRN CRNA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.