REVOLUTION HEALTH LLC
NPI 1356015218
Nurse Practitioner - Family in Henderson, NV

Active since August 04, 2021
6301 MOUNTAIN VISTA ST STE 209, HENDERSON, NV 89014(702) 703-1202 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Aug 5, 2021 (2 updates tracked since 2021).

About Revolution Health Llc NPPES

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

REVOLUTION HEALTH LLC (NPI 1356015218) is a healthcare organization registered as a family in Henderson, Nevada and active in the NPI registry since August 2021. The organization lists Katie Bass, Owner, as its authorized official.

NPPES Registry Identity

NPI1356015218
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVOLUTION HEALTH LLC
Location Address6301 MOUNTAIN VISTA ST STE 209Henderson, NV 89014-2364
Mailing Address6301 Mountain Vista St Ste 209Henderson, NV 89014-2364 · (702) 703-1202
Organization SubpartNo
Authorized OfficialKatie BassOwner · (702) 703-1202
Enumeration DateAugust 4, 2021
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1356015218 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
6301 MOUNTAIN VISTA ST STE 209, Henderson, NV 89014

Other Identifiers 1

Medicaid250011291NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Nurse Practitioner (Family)
6301 MOUNTAIN VISTA ST STE 209
HENDERSON, NV 89014
Nurse Practitioner (Family)
6301 MOUNTAIN VISTA ST STE 209
HENDERSON, NV 89014
Nurse Practitioner (Family)
6301 MOUNTAIN VISTA ST STE 209
HENDERSON, NV 89014

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 Revolution Health LLC's NPI number?

The NPI number for Revolution Health LLC is 1356015218. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Revolution Health LLC located?

Revolution Health LLC is located at 6301 Mountain Vista St Ste 209, Henderson, NV 89014. The listed phone number is (702) 703-1202.

What is Revolution Health LLC's specialty?

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

What insurance does Revolution Health LLC accept?

Health plans from Ambetter from Arizona Complete Health list Revolution Health LLC 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 Revolution Health LLC was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.