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REVITALIZE LLC
NPI 1033090303
Physician Assistant in West Des Moines, IA

Active since September 11, 2025
1031 OFFICE PARK RD STE 2, WEST DES MOINES, IA 50265(515) 822-6384(800) 507-4921 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Revitalize Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE LLC (NPI 1033090303) is a healthcare organization registered as a physician assistant in West Des Moines, Iowa and active in the NPI registry since September 2025. The organization lists Amanda Sieve, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1033090303
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameREVITALIZE LLC
Location Address1031 OFFICE PARK RD STE 2West Des Moines, IA 50265-2582
Mailing Address1031 Office Park Rd Ste 2West Des Moines, IA 50265-2582 · (515) 822-6384 · Fax (800) 507-4921
Phone(515) 822-6384
Fax(800) 507-4921
Organization SubpartNo
Authorized OfficialAmanda SieveBusiness Owner · (515) 822-6384
Enumeration DateSeptember 11, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1033090303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1031 OFFICE PARK RD STE 2, West Des Moines, IA 50265
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABINA KARAMUJA JOHNSON RD, LD
Dietitian, Registered
1031 OFFICE PARK RD STE 2
WEST DES MOINES, IA 50265
Polk County (515) 402-2741
LAURA HOWE
Nurse Practitioner (Psychiatric/Mental Health)
1031 OFFICE PARK RD STE 2
WEST DES MOINES, IA 50265
Polk County (515) 223-7702
AMANDA SIEVE PA-C
Physician Assistant
1031 OFFICE PARK RD STE 2
WEST DES MOINES, IA 50265
Polk County (515) 822-6384
CHRISTINE ELIZABETH BURKE PA
Physician Assistant
1031 OFFICE PARK RD STE 2
WEST DES MOINES, IA 50265
Polk County (515) 329-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize LLC's NPI number?

The NPI number for Revitalize LLC is 1033090303. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Revitalize LLC located?

Revitalize LLC is located at 1031 Office Park Rd Ste 2, West Des Moines, IA 50265. The listed phone number is (515) 822-6384.

What is Revitalize LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Revitalize LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.