Karen Reavis, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

19872 Issued in CA

Practice address

7625 Mesa College Dr
Suite 101
San Diego, CA 92111-5343

Phone

(888) 598-2007

Fax

(888) 598-7002

NPI assigned

Oct 22, 2010

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

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1962702019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 RUFFIN RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231860",
            "telephone_number": "858-569-6800",
            "fax_number": "868-569-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "888-598-2007",
            "fax_number": "888-598-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "19872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Reason
• Vitou Reat
• Elika NE'Sheal Reaux
• Douglas William Reavie, M.D.
• James Alton Reavis Jr., PSYD
• Reaware Licensed Clinical Social Work Prof Corp
• Reaware Outreach, Inc.
• Rebecca a. Marsh, DDS, Apc
• Rebecca Quinn Licensed Marriage and Family Therapist Inc
• Rebecca Rabe, LMFT

• Adult Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.