MRS. TISA MARIE REVELS SA-C, KCSA
NPI 1750424859
Specialist/Technologist, Other - Surgical Assistant in Louisville, KY

Q: What is Tisa Revels's NPI number?

The NPI number for Tisa Revels is 1750424859. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Tisa Revels's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Tisa Revels was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 15, 2007

4001 KRESGE WAY, SUITE 200, LOUISVILLE, KY 40207(502) 895-1995(502) 895-6479 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Tisa Marie Revels Sa-c, Kcsa NPPES

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

MRS. TISA MARIE REVELS SA-C, KCSA (NPI 1750424859) is an individual surgical assistant in Louisville, Kentucky, licensed in Kentucky (SA029) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1750424859

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameMRS. TISA MARIE REVELSCredential: SA-C, KCSA

Location Address4001 KRESGE WAY, SUITE 200Louisville, KY 40207-4640

Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 253-1035 · Fax (502) 253-1037

Phone(502) 895-1995

Fax(502) 895-6479

Sole ProprietorYes

Enumeration DateFebruary 15, 2007

Last NPPES UpdateMarch 3, 2016

✔ NPI 1750424859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in KY · SA029

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Also ListedSpecialistTaxonomy 174400000X · License SA029 (KY)

4001 KRESGE WAY, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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.

WYGAL & NEWMAN LLC

Specialist

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

JANET L HONCHELL MD

Obstetrics & Gynecology

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

DR. ANDREW D. BAILEY M.D.

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

DR. REID B BROWN M.D.

Orthopaedic Surgery

4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207

Jefferson County (502) 897-6579

ANDREW D BAILEY MD

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

JOHN M WEETER MD

Surgery (Plastic and Reconstructive Surgery)

4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207

Jefferson County (502) 895-5466

MRS. ELLEN JEAN JOFFE PA-C

Physician Assistant (Surgical)

4001 KRESGE WAY, SUITE 200
LOUISVILLE, KY 40207

Jefferson County (502) 895-1995

ORTHOPAEDIC SPECIALISTS PLLC

Specialist

4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 40207

Jefferson County (502) 212-2663

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 Tisa Revels's NPI number?

The NPI number for Tisa Revels is 1750424859. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Tisa Revels located?

Tisa Revels practices at 4001 Kresge Way Suite 200, Louisville, KY 40207. The listed phone number is (502) 895-1995.

What is Tisa Revels's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

What insurance does Tisa Revels accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Tisa Revels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tisa Revels was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.