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ALIVE HEALTH & WELLNESS
NPI 1790563252
Nurse Practitioner - Family in Midlothian, VA

Active since September 18, 2023
6804 WOODLAKE COMMONS LOOP, MIDLOTHIAN, VA 23112(804) 636-3918(804) 331-6173 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alive Health & Wellness NPPES

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

ALIVE HEALTH & WELLNESS (NPI 1790563252), doing business as Revive Health & Wellness, is a healthcare organization registered as a family in Midlothian, Virginia and active in the NPI registry since September 2023. The organization lists Jenea Bennett-talley, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1790563252
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameALIVE HEALTH & WELLNESS
Location Address6804 WOODLAKE COMMONS LOOPMidlothian, VA 23112-2281
Mailing Address6804 Woodlake Commons LoopMidlothian, VA 23112-2281 · (804) 636-3918 · Fax (804) 331-6173
Phone(804) 636-3918
Fax(804) 331-6173
Organization SubpartNo
Authorized OfficialJenea Bennett-talleyNurse Practitioner · (804) 636-3918
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1790563252 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
6804 WOODLAKE COMMONS LOOP, Midlothian, VA 23112
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Other Names 1

Former Legal Business NameRevive Health & Wellness

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

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 Alive Health & Wellness's NPI number?

The NPI number for Alive Health & Wellness is 1790563252. It was assigned to this organization in the NPPES registry on September 18, 2023. The provider was formerly known as Revive Health & Wellness.

Where is Alive Health & Wellness located?

Alive Health & Wellness is located at 6804 Woodlake Commons Loop, Midlothian, VA 23112. The listed phone number is (804) 636-3918.

What is Alive Health & Wellness'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 Alive Health & Wellness was last updated on September 18, 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.