JOHNNY VALENTINE RAVENWOOD
NPI 1053903724
Case Manager/Care Coordinator in Bremerton, WA

Q: What is Johnny Ravenwood's NPI number?

The NPI number for Johnny Ravenwood is 1053903724. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Q: What is Johnny Ravenwood's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnny Ravenwood was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2021PECOS Enrolled

5455 ALMIRA DR NE, BREMERTON, WA 98311(360) 373-5031 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2021, Feb 4, 2021 (2 updates tracked since 2021).

On this page

About Johnny Valentine Ravenwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY VALENTINE RAVENWOOD (NPI 1053903724) is an individual case manager/care coordinator provider in Bremerton, Washington and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053903724

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJOHNNY VALENTINE RAVENWOOD

Location Address5455 ALMIRA DR NEBremerton, WA 98311-8330

Mailing Address5455 Almira Dr NeBremerton, WA 98311-8330 · (360) 373-5031

Phone(360) 373-5031

Sole ProprietorNo

Enumeration DateFebruary 4, 2021

Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1053903724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

5455 ALMIRA DR NE, Bremerton, WA 98311

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Valentine Ravenwood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW D EISENHOWER MA

Counselor (Mental Health)