Jessica Nikita Revell, RDN, LDN is a
Dietitian, Registered based in Globe, Arizona. Jessica Nikita Revell is licensed to practice in Florida (license number 7718) and her current practice location is
1219 Sundance Ln, Globe, Arizona. She can be reached at her office (for appointments etc.) via phone at
(352) 209-2173.
NPI number for Jessica Nikita Revell is 1669976924 and her current mailing address is 11339 Hawk Holw, Lake Worth, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669976924.
Healthcare Provider's Profile
Full Name | Jessica Nikita Revell |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1219 Sundance Ln, Globe, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669976924
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 11/17/2023
Medical Identifiers
Medical identifiers for Jessica Nikita Revell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669976924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 7718 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Nikita Revell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Nikita Revell, RDN, LDN 11339 Hawk Holw, Lake Worth, FL 33449-8424 Ph: (352) 209-2173 | Jessica Nikita Revell, RDN, LDN 1219 Sundance Ln, Globe, AZ 85501 Ph: (352) 209-2173 |
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