REVITAL HEALTH AND WELLNESS PLLC
NPI 1790548105
Clinic/Center - Primary Care in Frisco, TX

Active since January 31, 2024
5550 WARREN PKWY STE 110, FRISCO, TX 75034(631) 220-8213 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Apr 29, 2024, Apr 26, 2024 (3 updates tracked since 2024).

About Revital Health And Wellness Pllc NPPES

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

REVITAL HEALTH AND WELLNESS PLLC (NPI 1790548105) is a healthcare organization registered as a primary care in Frisco, Texas and active in the NPI registry since January 2024. The organization lists Nancy C Ifemesia, Aprn, as its authorized official.

NPPES Registry Identity

NPI1790548105
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVITAL HEALTH AND WELLNESS PLLC
Location Address5550 WARREN PKWY STE 110Frisco, TX 75034-7399
Mailing Address5550 Warren Pkwy Ste 110Frisco, TX 75034-7399
Organization SubpartNo
Authorized OfficialNancy C IfemesiaAprn · (631) 220-8213
Enumeration DateJanuary 31, 2024
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1790548105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5550 WARREN PKWY STE 110, Frisco, TX 75034

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Anesthesiology
5550 WARREN PKWY STE 110
FRISCO, TX 75034
Nurse Practitioner (Adult Health)
5550 WARREN PKWY STE 110
FRISCO, TX 75034

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 Revital Health And Wellness PLLC's NPI number?

The NPI number for Revital Health And Wellness PLLC is 1790548105. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Revital Health And Wellness PLLC located?

Revital Health And Wellness PLLC is located at 5550 Warren Pkwy Ste 110, Frisco, TX 75034. The listed phone number is (631) 220-8213.

What is Revital Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Revital Health And Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Revital Health And Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revital Health And Wellness PLLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.