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REVA SHANE MITCHELL
NPI 1063103752
Licensed Practical Nurse in Columbus, OH

Active since May 15, 2023
2810 FERN AVE, COLUMBUS, OH 43211(614) 999-5152 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reva Shane Mitchell NPPES

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

REVA SHANE MITCHELL (NPI 1063103752) is an individual licensed practical nurse in Columbus, Ohio, licensed in Ohio (180908) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1063103752
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameREVA SHANE MITCHELL
Location Address2810 FERN AVEColumbus, OH 43211-1730
Mailing Address2810 Fern AveColumbus, OH 43211-1730 · (614) 999-5152
Phone(614) 999-5152
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1063103752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 180908
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2810 FERN AVE, Columbus, OH 43211
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reva Mitchell's NPI number?

The NPI number for Reva Mitchell is 1063103752. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Reva Mitchell located?

Reva Mitchell practices at 2810 Fern Ave, Columbus, OH 43211. The listed phone number is (614) 999-5152.

What is Reva Mitchell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Reva Mitchell was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.