BONNIE K. REVERE P.A.-C
NPI 1255453403
Physician Assistant in Cincinnati, OH

Active since April 06, 2007
411 OAK ST, CINCINNATI, OH 45219(513) 984-1800(513) 984-4909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonnie K. Revere P.a.-c NPPES

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

BONNIE K. REVERE P.A.-C (NPI 1255453403) is an individual physician assistant in Cincinnati, Ohio, licensed in Texas (PA00350) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1255453403
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBONNIE K. REVERECredential: P.A.-C
Location Address411 OAK STCincinnati, OH 45219-2598
Mailing Address411 Oak StCincinnati, OH 45219-2598 · (513) 984-1800 · Fax (513) 984-4909
Fax(513) 984-4909
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1255453403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA00350
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
411 OAK ST, Cincinnati, OH 45219

Other Identifiers 1

OtherPA00350TX · Physician Assistant Permi

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.

Nurse Practitioner (Adult Health)
411 OAK ST, ATTN: CREDENTIALS
CINCINNATI, OH 45219
Speech-Language Pathologist
411 OAK ST
CINCINNATI, OH 45219
Registered Nurse
411 OAK ST
CINCINNATI, OH 45219
Dental Hygienist
411 OAK ST
CINCINNATI, OH 45219
Psychologist (Clinical)
411 OAK ST, STERLING MEDICAL ASSOCIATES
CINCINNATI, OH 45219
Psychologist (Clinical)
411 OAK ST
CINCINNATI, OH 45219
Licensed Vocational Nurse
411 OAK ST
CINCINNATI, OH 45219
Dental Hygienist
411 OAK ST
CINCINNATI, OH 45219

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 Revere's NPI number?

The NPI number for Bonnie Revere is 1255453403. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Bonnie Revere located?

Bonnie Revere practices at 411 Oak St, Cincinnati, OH 45219. The listed phone number is (513) 984-1800.

What is Bonnie Revere's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bonnie Revere was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.