MICHAEL DAVID REAVIS MS RD LDN NPI 1245906585

NPI Information

  • NPI: 1245906585
  • Provider Name: MICHAEL DAVID REAVIS, MS, RD, LDN
  • Classification: Dietitian, Registered - 133VN1501X
  • Specialization: Nutrition, Sports Dietetics
  • Entity Type: Individual
  • Address: 8388 COURT AVE
    ELLICOTT CITY, MD
    ZIP 21043
  • Phone: (240) 646-6768

Map and Directions

Get Directions

NPI Details

Michael David Reavis, MS, RD, LDN is a nutrition and sports dietetics dietitian registered in Ellicott City, MD. The provider is an individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance. Michael David Reavis, MS, RD, LDN NPI is 1245906585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8388 COURT AVE
ELLICOTT CITY, MD
ZIP 21043-200
Phone: (240) 646-6768

The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/17/2021.

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
1133VN1501XDietitian, RegisteredNutrition, Sports DieteticsDX5056MARYLANDYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI