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DR. BONNIE CAUKINS REVELLE MD
NPI 1225087349
Pediatrics - Neonatal-Perinatal Medicine in Norfolk, VA

Active since May 08, 2006
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7456(757) 668-9255 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2020, Feb 28, 2019 (2 updates tracked since 2019).

About Dr. Bonnie Caukins Revelle Md NPPES

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

DR. BONNIE CAUKINS REVELLE MD (NPI 1225087349) is an individual neonatal-perinatal medicine provider in Norfolk, Virginia, licensed in Virginia (0101240729) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1225087349
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. BONNIE CAUKINS REVELLECredential: MD
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing Address811 Redgate AveNorfolk, VA 23507-1515 · (757) 668-7007 · Fax (757) 668-8658
Phone(757) 668-7456
Fax(757) 668-9255
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1225087349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in VA · 0101240729
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 27288 (NC), 0101240729 (VA)
601 CHILDRENS LN, Norfolk, VA 23507
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Other Identifiers 4

Other561929096NC · Federal Tax Id Number
Medicaid8971295NC
Other71295NC · Blue Cross Blue Shield
Medicaid890160MNC

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.

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Bonnie Revelle's NPI number?

The NPI number for Bonnie Revelle is 1225087349. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Bonnie Revelle located?

Bonnie Revelle practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-7456.

What is Bonnie Revelle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Bonnie Revelle was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.