MELISSA ANN REVARD APRN NPI 1033879168

NPI Information

  • NPI: 1033879168
  • Provider Name: MELISSA ANN REVARD, APRN
  • Classification: Nurse Practitioner - 363LP0222X
  • Specialization: Pediatrics, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 338-6815

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NPI Details

Melissa Ann Revard, APRN is a pediatrics and critical care nurse practitioner in Indianapolis, IN. Melissa Ann Revard, APRN NPI is 1033879168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260-902
Phone: (317) 338-6815

The NPI 1033879168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 10/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics28201775AINDIANANo
2363LF0000XNurse PractitionerFamily71012244AINDIANANo
3363LP0222XNurse PractitionerPediatrics, Critical Care71012244AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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