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REVIVING WELLNESS LLC
NPI 1053159996
Nurse Practitioner - Adult Health in Gilbert, AZ

Active since July 16, 2024
3336 E CHANDLER HEIGHTS RD STE 123, GILBERT, AZ 85298(480) 923-9094 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Aug 18, 2024, Jul 16, 2024 (3 updates tracked since 2024).

About Reviving Wellness Llc NPPES

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

REVIVING WELLNESS LLC (NPI 1053159996) is a healthcare organization registered as an adult health in Gilbert, Arizona and active in the NPI registry since July 2024. The organization lists Carrie Martinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053159996
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameREVIVING WELLNESS LLC
Location Address3336 E CHANDLER HEIGHTS RD STE 123Gilbert, AZ 85298-4263
Mailing Address3336 E Chandler Heights Rd Ste 123Gilbert, AZ 85298-4263 · (480) 923-9094
Phone(480) 923-9094
Organization SubpartNo
Authorized OfficialCarrie MartinsonOwner · (480) 923-9094
Enumeration DateJuly 16, 2024
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1053159996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
3336 E CHANDLER HEIGHTS RD STE 123, Gilbert, AZ 85298
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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 15

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

ASPIRING CHANGE, PLLC
Counselor (Professional)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 818-9992
CANDICE SMITH LPC
Counselor (Professional)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 372-8597
MRS. MEGAN LEONHARDT HEYWOOD LPC
Counselor (Mental Health)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 712-2660
ALLISON MOYE
Counselor (Mental Health)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 573-1850
EMILY WALTON MA
Counselor (Professional)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (602) 826-5126
RONDA LANTZ LPC
Counselor (Professional)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 818-9992
ROBERT MCCLELLAN LAC
Counselor (Professional)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 581-1273
BREE KARY LAC
Counselor (Mental Health)
3336 E CHANDLER HEIGHTS RD STE 123
GILBERT, AZ 85298
Maricopa County (480) 372-8597

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 Reviving Wellness LLC's NPI number?

The NPI number for Reviving Wellness LLC is 1053159996. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Reviving Wellness LLC located?

Reviving Wellness LLC is located at 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298. The listed phone number is (480) 923-9094.

What is Reviving Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Reviving Wellness LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.