Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVIVE HEALTH AND WELLNESS, LLC
NPI 1255068425
Nurse Practitioner - Family in Ocean Springs, MS

Active since August 06, 2022
2112 BIENVILLE BLVD STE M1, OCEAN SPRINGS, MS 39564(228) 324-5347 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Aug 6, 2022 (2 updates tracked since 2022).

About Revive Health And Wellness, Llc NPPES

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

REVIVE HEALTH AND WELLNESS, LLC (NPI 1255068425) is a healthcare organization registered as a family in Ocean Springs, Mississippi and active in the NPI registry since August 2022. The organization lists Traci J White, Owner, as its authorized official.

NPPES Registry Identity

NPI1255068425
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVE HEALTH AND WELLNESS, LLC
Location Address2112 BIENVILLE BLVD STE M1Ocean Springs, MS 39564-3027
Mailing Address17804 Riverwalk DriveVancleave, MS 39565 · (228) 324-5347
Organization SubpartNo
Authorized OfficialTraci J WhiteOwner · (228) 324-5347
Enumeration DateAugust 6, 2022
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1255068425 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
2112 BIENVILLE BLVD STE M1, Ocean Springs, MS 39564

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 2

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

Social Worker (Clinical)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564
Counselor (Mental Health)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564

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 Revive Health And Wellness, LLC's NPI number?

The NPI number for Revive Health And Wellness, LLC is 1255068425. It was assigned to this organization in the NPPES registry on August 6, 2022.

Where is Revive Health And Wellness, LLC located?

Revive Health And Wellness, LLC is located at 2112 Bienville Blvd Ste M1, Ocean Springs, MS 39564. The listed phone number is (228) 324-5347.

What is Revive Health And Wellness, LLC'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 Revive Health And Wellness, LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.