Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003084369 Individual Practitioner Female Practitioner

Jacqueline Revello , MA, RN

Registered Nurse • Divide, CO

Professional Overview & Biography Verified Profile Summary

Jacqueline Revello, MA, RN is a registered healthcare professional specializing in Registered Nurse in Divide, CO. Practice services are available at 11115 W. HWY 24, UNIT 2C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11115 W. Hwy 24, Unit 2c

Divide, CO 80814

Telephone 7196876416
Associated Practice Facility / Clinic
🏢 Teller County Facility NPI 1104998822

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Divide, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Divide, CO (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CO RN0188325

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Amy Terry , RN

Registered Nurse - Women's Health Care, Ambulatory

NPI 1043756133

Registered Nurse

Veranique Nodine , REGISTERED NURSE

Registered Nurse - Community Health

NPI 1043885205

REGISTEREDNURSE

Miranda David , RN

Registered Nurse - Community Health

NPI 1144390329

Registered Nurse

Cheryl Maniak , RN

Registered Nurse

NPI 1154837722

Registered Nurse

Caitlyn Noble , FNP

Nurse Practitioner - Family

NPI 1255921912

Family Nurse Practitioner

Kimberly Newcom , RN

Registered Nurse - Community Health

NPI 1316512577

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 11115 W. HWY 24, UNIT 2C, DIVIDE, CO 80814 (Tel: 7196876416)

📍
Updated Business Mailing Address February 10, 2017

Registered at PO BOX 214, 682 SIMBA POINT, DIVIDE, CO 808140214 (Tel: 7196874224)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as JACQUELINE REVELLO, MA, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Counselor

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2008

Registered at 80 W MAIN ST, MENDHAM, NJ 079451257 (Tel: 9735435656)

📍
Updated Business Mailing Address February 20, 2008

Registered at 54 HIBERNIA AVE, ROCKAWAY, NJ 078662621 (Tel: 9732148770)

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as JACQUELINE DAVIS, MA, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Counselor

🟢
Initial NPI Registration & Enumeration February 20, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003084369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2008
Last Update: February 10, 2017
Sole Proprietor: No

Mailing Address

Po Box 214, 682 Simba Point

Divide, CO 808140214

Phone: 7196874224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.