TRIBUTE HEALTH & REVIVAL, LLC
NPI 1457942609
Nurse Practitioner - Adult Health in Clinton, MD
About Tribute Health & Revival, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIBUTE HEALTH & REVIVAL, LLC (NPI 1457942609) is a healthcare organization registered as an adult health in Clinton, Maryland and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Ruby Parkzes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2235484
Tribute Health & Revival LLC · Clinton, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tribute Health & Revival, LLC's NPI number?
The NPI number for Tribute Health & Revival, LLC is 1457942609. It was assigned to this organization in the NPPES registry on January 31, 2021.
Where is Tribute Health & Revival, LLC located?
Tribute Health & Revival, LLC is located at 7801 Old Branch Ave Ste 411, Clinton, MD 20735. The listed phone number is (301) 835-2683.
What is Tribute Health & Revival, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Does Tribute Health & Revival, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2235484) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tribute Health & Revival, LLC was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tribute Health & Revival, Llc · NPI 1457942609
Adult Health organization in Clinton, Maryland. Organization record, active in the CMS NPPES registry since January 31, 2021.
## Identity
- **NPI:** 1457942609 (Entity type: Organization)
- **Enumerated:** January 31, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Ruby Parkzes, OWNER
## Practice location
- **Address:** 7801 OLD BRANCH AVE STE 411, Clinton, MD 20735-1608
- **Phone:** (301) 835-2683
## Record status
- **NPPES last updated:** December 1, 2023
- **Other identifiers:** Other R219756 (MD)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1457942609) · Data from the CMS NPPES public registry.