REVITALIST
NPI 1073168241
Community/Behavioral Health in Knoxville, TN

Q: What is Revitalist's NPI number?

The NPI number for Revitalist is 1073168241. It was assigned to this organization in the NPPES registry on August 5, 2019.

Q: What is Revitalist's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Revitalist was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 05, 2019

10608 FLICKENGER LN, KNOXVILLE, TN 37922(865) 392-6262 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Feb 19, 2025, Aug 5, 2019 (3 updates tracked since 2019).

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About Revitalist NPPES

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

REVITALIST (NPI 1073168241) is a healthcare organization registered as a community/behavioral health in Knoxville, Tennessee and active in the NPI registry since August 2019. The organization lists Kathryn Walker, Principal Employee, as its authorized official.

NPPES Registry Identity

NPI1073168241

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameREVITALIST

Location Address10608 FLICKENGER LNKnoxville, TN 37922-3485

Mailing Address10608 Flickenger LnKnoxville, TN 37922-3485

Phone(865) 392-6262

Organization SubpartNo

Authorized OfficialKathryn WalkerPrincipal Employee · (865) 392-6262

Enumeration DateAugust 5, 2019

Last NPPES UpdateMarch 7, 20253 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1073168241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

10608 FLICKENGER LN, Knoxville, TN 37922

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MS. BIANCA MASSI LMHC

Counselor (Mental Health)