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REVITALIZE HEALTH
NPI 1467323220
Nurse Practitioner - Family in Coeur D Alene, ID

Active since September 15, 2025
913 W CANFIELD AVE, COEUR D ALENE, ID 83815(208) 763-8920(208) 203-0947 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalize Health NPPES

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

REVITALIZE HEALTH (NPI 1467323220) is a healthcare organization registered as a family in Coeur D Alene, Idaho and active in the NPI registry since September 2025. The organization lists Heather King, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467323220
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVITALIZE HEALTH
Location Address913 W CANFIELD AVECoeur D Alene, ID 83815-9764
Mailing Address913 W Canfield AveCoeur D Alene, ID 83815-9764 · (208) 763-8920 · Fax (208) 203-0947
Phone(208) 763-8920
Fax(208) 203-0947
Organization SubpartNo
Authorized OfficialHeather KingCeo · (208) 763-8920
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1467323220 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
913 W CANFIELD AVE, Coeur D Alene, ID 83815
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MS. JANA M QUALLS FNP
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
HEATHER LOUISE KING NP-C
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 763-8920
MIND AND BODY RESTORED
Pain Medicine (Pain Medicine)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
DESIREE HART NP-BC
Nurse Practitioner
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
RATHDRUM CLINIC, INC.
Family Medicine (Addiction Medicine)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103
MRS. LESLEY SUSANNE ROBERTS PA-C
Physician Assistant (Medical)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103
DR. MICHAEL DAVID WHITING M.D.
Family Medicine
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103
KIMBERLY MCDERMOTT FNP-BC
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103

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 Revitalize Health's NPI number?

The NPI number for Revitalize Health is 1467323220. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Revitalize Health located?

Revitalize Health is located at 913 W Canfield Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 763-8920.

What is Revitalize Health's specialty?

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

When was this NPI record last updated?

The NPPES record for Revitalize Health was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.