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NPI Code Detail

MEDICARE: SHALONDA REAVISH

MEDICARE: SHALONDA REAVISH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003758327
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALONDA REAVISH
Provider Business Mailing Address
First Line : 525 METRO PL N STE 300
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5320
Country : US
Telephone Number : 855-289-1722
Fax Number :
Provider Business Practice Location Address
First Line : 525 METRO PL N STE 300
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5320
Country : US
Telephone Number : 855-289-1722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ SHALONDA REAVISH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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