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REVITALIZE HEALTH SOLUTIONS
NPI 1811846678
Clinic/Center in Lees Summit, MO

Active since January 26, 2026
529 SE 2ND ST, LEES SUMMIT, MO 64063(816) 935-6072 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Revitalize Health Solutions NPPES

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

REVITALIZE HEALTH SOLUTIONS (NPI 1811846678) is a healthcare organization registered as a clinic/center in Lees Summit, Missouri and active in the NPI registry since January 2026. The organization lists Jennifer Rucker, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1811846678
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVITALIZE HEALTH SOLUTIONS
Location Address529 SE 2ND STLees Summit, MO 64063-2694
Mailing Address100 Se Moreland School RdBlue Springs, MO 64014-5037 · (816) 935-6072
Phone(816) 935-6072
Organization SubpartNo
Authorized OfficialJennifer RuckerNurse Practitioner/owner · (816) 935-6072
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1811846678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
529 SE 2ND ST, Lees Summit, MO 64063
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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.

PAIGE N WEBER PLPC
Counselor (Mental Health)
529 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 200-1618
CROSSROADS THERAPY
Counselor (Mental Health)
529 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 477-3007
DR. MICHAEL SMITH GREENE DC
Chiropractor
529 SE 2ND ST, SUITE C
LEES SUMMIT, MO 64063
Jackson County (816) 246-4884
AMY VANCAMP LCSW
Social Worker (Clinical)
529 SE 2ND ST, SUITE D
LEES SUMMIT, MO 64063
Jackson County (816) 581-3737
MS. LISA LISEC NCC, PLPC
Counselor
529 SE 2ND ST, SUITE A
LEES SUMMIT, MO 64063
Jackson County (816) 875-0235

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 Solutions's NPI number?

The NPI number for Revitalize Health Solutions is 1811846678. It was assigned to this organization in the NPPES registry on January 26, 2026.

Where is Revitalize Health Solutions located?

Revitalize Health Solutions is located at 529 SE 2nd St, Lees Summit, MO 64063. The listed phone number is (816) 935-6072.

What is Revitalize Health Solutions's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revitalize Health Solutions was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.