REVITALIZE WELLNESS CENTER (NPI# 1639143647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639143647 |
| Entity Type | Organization |
| Organization Name | REVITALIZE WELLNESS CENTER |
| Practice Address |
502 N Ankeny Blvd Suite 5 Ankeny IA 50023-1755 |
| Practice Telephone | 5159642577 |
| Mailing Telephone | 5159642577 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROY LUBKEMAN (OWNER) |
| Authorized Official Telephone | 5159642577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A06104 | IA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215394119 | Revitalize Wellness Center | Clinic/Center | 51577 Columbia River Hwy, Suite C, Scappoose, OR 97056-8409 | 2016-01-22 |
| Street Address |
502 N ANKENY BLVD SUITE 5 |
| City | ANKENY |
| State | IA |
| Zip Code | 50023-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942220488 | New Life Chiropractic | Chiropractor | 502 N Ankeny Blvd, Ste 5, Ankeny, IA 50023-1755 | 2006-07-20 |
| 1548209836 | Bryce Alan Armstrong | Chiropractor | 502 N Ankeny Blvd, Suite 5, Ankeny, IA 50023-1755 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189538 | Acme Chiropractic PC | Chiropractor | 701 Nw School St, Ankeny, IA 50023-1735 | 2020-03-19 |
| 1316572795 | Ayusa Ogawa Lisk | Chiropractor | 4815 Ne Trilein Dr, Ankeny, IA 50021-8106 | 2020-03-06 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1851893689 | Miranda Good | Chiropractor | 215 Nw 18th St Ste 101, Ankeny, IA 50023-4282 | 2018-03-07 |
| 1982118352 | Simms Family Chiropractic, LLC | Chiropractor | 1875 N Ankeny Blvd, Ankeny, IA 50023-4768 | 2017-11-21 |
| 1710401435 | Andrew John Anthofer | Chiropractor | 458 Ne Delaware Ave # 330, Ankeny, IA 50021-6603 | 2017-08-03 |
| 1013431121 | Rachel Ann Curtis | Chiropractor | 213 N Ankeny Blvd Ste 120, Ankeny, IA 50023-1749 | 2017-07-31 |
| 1821520297 | Family Wellness Chiropractic, Pllc | Chiropractor | 215 Nw 18th St, Ste 101, Ankeny, IA 50023-4281 | 2017-04-03 |
| 1023555125 | Brandon Kyle Boston | Chiropractor | 520 Sw 3rd St Suite 1b, Ankeny, IA 50023 | 2017-01-26 |
| 1205210408 | Embrace Life Chiropractic LLC | Chiropractor | 2732 Se Delaware Ave, Ste 280, Ankeny, IA 50021-9322 | 2015-07-17 |
| Find all providers in ANKENY | ||||
Please comment or provide details below to improve the information on REVITALIZE WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.