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

REVIVE COMMUNITY HEALTH
NPI 1255916987
Registered Nurse - Wound Care in Tempe, AZ

Active since March 15, 2021
4700 S MCCLINTOCK DR STE 140, TEMPE, AZ 85282(480) 851-6309 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Aug 20, 2026, Jan 13, 2026 and 2 more (5 updates tracked since 2021).

About Revive Community Health NPPES

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

REVIVE COMMUNITY HEALTH (NPI 1255916987) is a healthcare organization registered as a wound care in Tempe, Arizona and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Tucson and lists Micah Phillips, Coo, as its authorized official.

NPPES Registry Identity

NPI1255916987
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameREVIVE COMMUNITY HEALTH
Location Address4700 S MCCLINTOCK DR STE 140Tempe, AZ 85282-7375
Mailing Address4700 S Mcclintock Dr Ste 140Tempe, AZ 85282-7375 · (480) 851-6309 · Fax (573) 240-9791
Organization SubpartNo
Authorized OfficialMicah PhillipsCoo · (602) 717-8599
Enumeration DateMarch 15, 2021
Last NPPES UpdateAugust 27, 20265 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1255916987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedNurse PractitionerTaxonomy 363L00000X
4700 S MCCLINTOCK DR STE 140, Tempe, AZ 85282

Other Names 2

Doing Business AsRevive Community Health
Doing Business AsRevive Community Health Llc

Secondary Practice Location 1

Location 17140 E Rosewood St Ste 110Tucson, AZ 85710-1320 · Phone (480) 851-6309 · Fax (573) 240-9791

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 7

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

Internal Medicine
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Nurse Practitioner (Family)
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Physician Assistant
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Nurse Practitioner (Family)
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Physician Assistant
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Registered Nurse (Wound Care)
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282
Physician Assistant
4700 S MCCLINTOCK DR STE 140
TEMPE, AZ 85282

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 Community Health's NPI number?

The NPI number for Revive Community Health is 1255916987. It was assigned to this organization in the NPPES registry on March 15, 2021. The provider is doing business as Revive Community Health LLC.

Where is Revive Community Health located?

Revive Community Health is located at 4700 S Mcclintock Dr Ste 140, Tempe, AZ 85282. The listed phone number is (480) 851-6309.

What is Revive Community Health's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

When was this NPI record last updated?

The NPPES record for Revive Community Health was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.