REVITALIST
NPI 1073168241
Community/Behavioral Health in Knoxville, TN
NPI Status: Active since August 05, 2019
Contact Information
10608 FLICKENGER LN
KNOXVILLE, TN
ZIP 37922
Phone: (865) 392-6262
- Organization
- Community/Behavioral Health
- CLIA Number: 44D2249257
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 10-13-2026
About REVITALIST
This page provides the complete NPI Profile along with additional information for Revitalist, a provider established in Knoxville, Tennessee operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1073168241 assigned on August 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Revitalist operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kathryn Walker Crna (Principal Employee)
- NPI
- 1073168241
- Provider Name
- REVITALIST
- Entity Type
- Organization
- Location Address
- 10608 FLICKENGER LN KNOXVILLE, TN 37922
- Location Phone
- (865) 392-6262
- Mailing Address
- 10608 FLICKENGER LN KNOXVILLE, TN 37922
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2019
- Last Update Date
- 03-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2249257
- Facility Type
- Independent
- Certificate Effective Date
- October 14, 2024
- Certificate Expiration Date
- October 13, 2026
- Laboratory Director
- DR. VANDANA A. KUMAR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Revitalist on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073168241, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073168241, enumerated as an "organization" on August 05, 2019.
The provider is located at 10608 FLICKENGER LN KNOXVILLE, TN 37922 and the phone number is (865) 392-6262.
Community/Behavioral Health with taxonomy code 251S00000X.
