REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY
NPI 1497637342
Nurse Practitioner in Las Vegas, NV

Active since July 22, 2025
4533 MERKEL BLUFF ST, LAS VEGAS, NV 89147(702) 886-2269 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revivify Wound Care And Soft Tissue Specialty NPPES

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

REVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY (NPI 1497637342) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since July 2025. The organization lists Natalie Gutierrez, Manager, as its authorized official.

NPPES Registry Identity

NPI1497637342
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREVIVIFY WOUND CARE AND SOFT TISSUE SPECIALTY
Location Address4533 MERKEL BLUFF STLas Vegas, NV 89147-5128
Mailing Address4533 Merkel Bluff StLas Vegas, NV 89147-5128 · (702) 886-2269
Organization SubpartNo
Authorized OfficialNatalie GutierrezManager · (702) 886-2269
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1497637342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4533 MERKEL BLUFF ST, Las Vegas, NV 89147

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 3

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

Nurse Practitioner (Family)
4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147
Nurse Practitioner (Family)
4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147
Nurse Practitioner (Family)
4533 MERKEL BLUFF ST
LAS VEGAS, NV 89147

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 Revivify Wound Care And Soft Tissue Specialty's NPI number?

The NPI number for Revivify Wound Care And Soft Tissue Specialty is 1497637342. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Revivify Wound Care And Soft Tissue Specialty located?

Revivify Wound Care And Soft Tissue Specialty is located at 4533 Merkel Bluff St, Las Vegas, NV 89147. The listed phone number is (702) 886-2269.

What is Revivify Wound Care And Soft Tissue Specialty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Revivify Wound Care And Soft Tissue Specialty was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.