1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Nurse Practitioner
  6. NPI Profile

REVIVE OF COLORADO, PLLC
NPI 1609372838
Nurse Practitioner in Colorado Springs, CO

Active since April 05, 2018
218 E CHEYENNE MOUNTAIN BLVD, COLORADO SPRINGS, CO 80906(719) 396-3003(719) 396-3003 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Of Colorado, Pllc NPPES

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

REVIVE OF COLORADO, PLLC (NPI 1609372838) is a healthcare organization registered as a nurse practitioner in Colorado Springs, Colorado and active in the NPI registry since April 2018. The organization lists Deirdre Raquel Wolf, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609372838
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREVIVE OF COLORADO, PLLC
Location Address218 E CHEYENNE MOUNTAIN BLVDColorado Springs, CO 80906-3720
Mailing Address218 E Cheyenne Mountain BlvdColorado Springs, CO 80906-3720 · (719) 396-3003 · Fax (719) 396-3003
Phone(719) 396-3003
Fax(719) 396-3003
Organization SubpartNo
Authorized OfficialDeirdre Raquel WolfCeo · (719) 396-3003
Enumeration DateApril 5, 2018
✔ NPI 1609372838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · AG09170063
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.
218 E CHEYENNE MOUNTAIN BLVD, Colorado Springs, CO 80906
Open in Google Maps ↗

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 5

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

MRS. APRIL DAYLENE CALDWELL PAC
Physician Assistant
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 465-1579
APRIL EILEEN LYNCH D.O.
Family Medicine
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 465-1579
DEIRDRE RAQUEL MCADAMS AGNP
Nurse Practitioner
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO 80906
El Paso County (850) 879-1801
JOHN R DYGERT DO
Family Medicine
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 465-1579
PINNACLE ADVANCED PRIMARY CARE
Clinic/Center (Primary Care)
218 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 465-1579

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 Revive Of Colorado, PLLC's NPI number?

The NPI number for Revive Of Colorado, PLLC is 1609372838. It was assigned to this organization in the NPPES registry on April 5, 2018.

Where is Revive Of Colorado, PLLC located?

Revive Of Colorado, PLLC is located at 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906. The listed phone number is (719) 396-3003.

What is Revive Of Colorado, PLLC'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 Revive Of Colorado, PLLC was last updated on April 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.