What is Glen Revere's NPI number?

Glen Revere's National Provider Identifier (NPI) is 1477628980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Glen Revere's specialty?

Glen Revere is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Glen Revere located?

Glen Revere's practice location on file with NPPES is 12033 Agency Rd, Parker, AZ 85344-7718.

What is Glen Revere's phone number?

The practice phone number listed in the NPPES registry for Glen Revere is (928) 669-2137.

Is Glen Revere's NPI active?

Yes — Glen Revere's NPI (1477628980) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Glen Revere, R.D., C.D.E.

NPI 1477628980 · Registered Dietitian · Parker, AZ

Glen Revere, R.D., C.D.E. is a Registered Dietitian provider in Parker, AZ (NPI 1477628980).

Provider details

NPI number: 1477628980
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: R.D., C.D.E.
Sex: Male
Sole proprietor: Yes
License: 473669

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 473669
Dietary & Nutritional Service Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12033 Agency Rd

Parker, AZ 85344-7718

Phone: (928) 669-2137

Fax: (928) 669-3131

Approximate (ZIP-level) locationGet directions

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Mailing address