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MEDIZEN REVITALIZE
NPI 1427905967
Nurse Practitioner - Psychiatric/Mental Health in Maize, KS

Active since March 13, 2026
11407 W SONDRA ST, MAIZE, KS 67101(316) 285-0505(763) 314-4990 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Medizen Revitalize NPPES

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

MEDIZEN REVITALIZE (NPI 1427905967) is a healthcare organization registered as a psychiatric/mental health in Maize, Kansas and active in the NPI registry since March 2026. The organization lists Delicia Bawl, Owner, as its authorized official.

NPPES Registry Identity

NPI1427905967
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMEDIZEN REVITALIZE
Location Address11407 W SONDRA STMaize, KS 67101-9014
Mailing Address11407 W Sondra StMaize, KS 67101-9014 · (316) 285-0505 · Fax (763) 314-4990
Phone(316) 285-0505
Fax(763) 314-4990
Organization SubpartNo
Authorized OfficialDelicia BawlOwner · (316) 807-3069
Enumeration DateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1427905967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11407 W SONDRA ST, Maize, KS 67101
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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

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

DELICIA C. BAWL APRN
Nurse Practitioner (Family)
11407 W SONDRA ST
MAIZE, KS 67101
Sedgwick County (316) 285-0505

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 Medizen Revitalize's NPI number?

The NPI number for Medizen Revitalize is 1427905967. It was assigned to this organization in the NPPES registry on March 13, 2026.

Where is Medizen Revitalize located?

Medizen Revitalize is located at 11407 W Sondra St, Maize, KS 67101. The listed phone number is (316) 285-0505.

What is Medizen Revitalize's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Medizen Revitalize was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.