Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVITALOUNGE IV HYDRATION AND WELLNESS, PLLC
NPI 1114835410
Family Medicine in Lexington, KY

Q: What is Revitalounge IV Hydration And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 29, 2026

3948 FOUNTAINBLUE LN STE 120, LEXINGTON, KY 40513(859) 334-0806 Get Directions Write a Review

NPPES record added: August 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Revitalounge Iv Hydration And Wellness, Pllc NPPES

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

REVITALOUNGE IV HYDRATION AND WELLNESS, PLLC (NPI 1114835410) is a healthcare organization registered as a family medicine in Lexington, Kentucky and active in the NPI registry since August 2026. The organization lists Hazim Rishmawi, Owner, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114835410

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameREVITALOUNGE IV HYDRATION AND WELLNESS, PLLC

Location Address3948 FOUNTAINBLUE LN STE 120Lexington, KY 40513-8315

Mailing Address3948 Fountainblue Ln Ste 120Lexington, KY 40513-8315 · (859) 334-0806

Phone(859) 334-0806

Organization SubpartNo

Authorized OfficialHazim RishmawiOwner, Medical Director · (859) 533-5361

Enumeration DateAugust 29, 2026

NPPES CertifiedAugust 29, 2026

✔ NPI 1114835410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3948 FOUNTAINBLUE LN STE 120, Lexington, KY 40513

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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

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 Revitalounge IV Hydration And Wellness, PLLC's NPI number?

The NPI number for Revitalounge IV Hydration And Wellness, PLLC is 1114835410. It was assigned to this organization in the NPPES registry on August 29, 2026.

Where is Revitalounge IV Hydration And Wellness, PLLC located?

Revitalounge IV Hydration And Wellness, PLLC is located at 3948 Fountainblue Ln Ste 120, Lexington, KY 40513. The listed phone number is (859) 334-0806.

What is Revitalounge IV Hydration And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revitalounge IV Hydration And Wellness, PLLC was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.