REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALIST
NPI 1134016397
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Revivify Wound Care And Soft Tissue Specialist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 20, 2025

4533 MERKEL BLUFF ST, LAS VEGAS, NV 89147(702) 886-2269 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Jul 3, 2025, Jun 25, 2025 and 1 more (4 updates tracked since 2025).

On this page

About Revivify Wound Care And Soft Tissue Specialist NPPES

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

REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALIST (NPI 1134016397) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since June 2025. The organization lists Juan Gutierrez, Owner, as its authorized official.

NPPES Registry Identity

NPI1134016397

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameREVIVIFY WOUND CARE AND SOFT TISSUE SPECIALIST

Location Address4533 MERKEL BLUFF STLas Vegas, NV 89147-5128

Mailing Address4533 Merkel Bluff StLas Vegas, NV 89147-5128 · (702) 886-2269

Phone(702) 886-2269

Organization SubpartNo

Authorized OfficialJuan GutierrezOwner · (702) 886-2269

Enumeration DateJune 20, 2025

Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1134016397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

4533 MERKEL BLUFF ST, Las Vegas, NV 89147

Open in Google Maps ↗

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 3

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

LIFESTYLE WELLNESS PLLC

Nurse Practitioner (Family)

4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147

Clark County (702) 886-2269

REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY

Nurse Practitioner

4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147

Clark County (702) 886-2269

NATALIE GUTIERREZ FNP

Nurse Practitioner (Family)

4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147

Clark County (702) 886-2269

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 Revivify Wound Care And Soft Tissue Specialist's NPI number?

The NPI number for Revivify Wound Care And Soft Tissue Specialist is 1134016397. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Revivify Wound Care And Soft Tissue Specialist located?

Revivify Wound Care And Soft Tissue Specialist is located at 4533 Merkel Bluff St, Las Vegas, NV 89147. The listed phone number is (702) 886-2269.

What is Revivify Wound Care And Soft Tissue Specialist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Revivify Wound Care And Soft Tissue Specialist was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.