REVAMP SERVICES INC
NPI 1285311456
Clinic/Center - Health Service in Tacoma, WA

Active since June 29, 2023
1702 S 72ND ST STE D, TACOMA, WA 98408(206) 327-8403 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revamp Services Inc NPPES

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

REVAMP SERVICES INC (NPI 1285311456), doing business as Revampdr, is a healthcare organization registered as a health service in Tacoma, Washington and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Tacoma and lists Grace Mwangi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285311456
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREVAMP SERVICES INC
Location Address1702 S 72ND ST STE DTacoma, WA 98408-1238
Mailing Address7705 S Junett StTacoma, WA 98409-9026 · (206) 327-8403 · Fax (206) 299-3342
Organization SubpartNo
Authorized OfficialGrace MwangiCeo · (206) 327-8403
Enumeration DateJune 29, 2023
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1285311456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1702 S 72ND ST STE D, Tacoma, WA 98408

Other Names 2

Doing Business AsRevampdr
Doing Business AsRevampdr Llc

Secondary Practice Location 1

Location 17705 S Junett StTacoma, WA 98409-9026 · Phone (206) 327-8403 · Fax (206) 299-3342

Other Identifiers 1

Other1285311456WA · Npi

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Primary Care)
1702 S 72ND ST STE D
TACOMA, WA 98408

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 Revamp Services Inc's NPI number?

The NPI number for Revamp Services Inc is 1285311456. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as RevampDR and RevampDr LLC.

Where is Revamp Services Inc located?

Revamp Services Inc is located at 1702 S 72nd St Ste D, Tacoma, WA 98408. The listed phone number is (206) 327-8403.

What is Revamp Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Revamp Services Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Revamp Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revamp Services Inc was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.