REVIVE HEALTH AND WELLNESS PLLC (NPI# 1760721492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760721492 |
| Entity Type | Organization |
| Organization Name | REVIVE HEALTH AND WELLNESS PLLC |
| Practice Address |
5309 Village Pkwy Ste 3 Rogers AR 72758-8102 |
| Practice Telephone | 4794640840 |
| Mailing Telephone | 4794640840 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | KARLA CARDON (CLINIC MANAGER) |
| Authorized Official Telephone | 4794640840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
E1940 | AR | Ambulatory Health Care Facilities |
| Street Address |
5309 VILLAGE PKWY STE 3 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609011279 | Unruh Chiropractic & Wellness Center | Clinic/Center | 302 N 8th St, Suite 1, Rogers, AR 72756-3738 | 2008-12-10 |
| 1013160233 | Infinite Wellness Chiropractic, Pa | Clinic/Center | 21308 John Milless Dr, Suite 104, Rogers, MN 55374-4708 | 2008-10-31 |
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| 1801245105 | Youth Bridge | Clinic/Center | 5327 Crestwood St, Harrison, AR 72601-9292 | 2016-06-07 |
| 1508211798 | Massage Clinic 7 | Clinic/Center | 8 Beauregard Dr, Little Rock, AR 72206-2722 | 2016-04-26 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1699183392 | Kaumeyer Chiropractic Center | Clinic/Center | 3145 Central Ave Ste B, Hot Springs, AR 71913-6171 | 2014-07-25 |
| 1578993291 | Healthcare Certifications, LLC | Clinic/Center | 3721 Idlewild Ave, North Little Rock, AR 72116-8237 | 2013-11-15 |
| 1194901736 | Divine Medical Outreach Services | Clinic/Center | 5553 Springvale Rd, North Little Rock, AR 72116-3740 | 2008-01-14 |
| 1871622621 | Doc's Clinic and Institute, Plc | Clinic/Center | 4220 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-03-05 |
| 1699856872 | George Chiropractic Clinic Inc. | Clinic/Center | 1718 N Falls Blvd, Wynne, AR 72396-0498 | 2006-10-17 |
| 1700808755 | Northstar Partnering Group, LLC | Clinic/Center | 2458 E Joyce Blvd, Suite 1, Fayetteville, AR 72703-4519 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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| 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.