JUSTIN C REAVLEY
NPI 1295506491
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since January 16, 2024
6 HAIRPIN DR, EDWARDSVILLE, IL 62026(618) 650-5688 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin C Reavley NPPES

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

JUSTIN C REAVLEY (NPI 1295506491) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1295506491
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN C REAVLEY
Location Address6 HAIRPIN DREdwardsville, IL 62026-1000
Mailing Address6 Hairpin Dr., Campus Box 1066Edwardsville, IL 62026-1000 · (618) 650-5688
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
NPPES CertifiedJune 13, 2023
NPI 1295506491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6 HAIRPIN DR, Edwardsville, IL 62026

Other Providers at the Same Location NPPES 17

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

Nurse Anesthetist, Certified Registered
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Registered Nurse
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Registered Nurse (College Health)
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026

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 Justin Reavley's NPI number?

The NPI number for Justin Reavley is 1295506491. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Justin Reavley located?

Justin Reavley practices at 6 Hairpin Dr, Edwardsville, IL 62026. The listed phone number is (618) 650-5688.

What is Justin Reavley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Reavley was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.