Kenyetta Reeves, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

346740 Issued in TX

Practice address

458 Town SQ
Copperas Cove, TX 76522-2826

Phone

(254) 533-5811

NPI assigned

Mar 1, 2021

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

State licenses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1972197010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 TOWN SQ",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222826",
            "telephone_number": "254-533-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 TOWN SQ",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222826",
            "telephone_number": "254-533-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KENYETTA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "346740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanisha Rancy
• Christina Leigh Ravenel, LPC
• Inell Denise Ray, 000
• Michelle Dawn Ray, LCSW
• Dana Louise Reed, MS-CCC,SLP
• Mandy Jean Reyna, LPC-ASSOCIATE
• Cornelia S Rhome, RN, FNP-C
• Philip M Ripp
• Alia Rivas, APRN
• Nadia Janay Robinson

• Licensed Vocational Nurse in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.