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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

REVITALIZE HEALTH
NPI 1821910803
Nurse Practitioner in Coeur D Alene, ID

Active since July 29, 2026
250 NORTHWEST BLVD STE 200, COEUR D ALENE, ID 83814(208) 763-8920(208) 203-0947 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revitalize Health NPPES

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

REVITALIZE HEALTH (NPI 1821910803) is a healthcare organization registered as a nurse practitioner in Coeur D Alene, Idaho and active in the NPI registry since July 2026. The organization lists Heather King, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821910803
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREVITALIZE HEALTH
Location Address250 NORTHWEST BLVD STE 200Coeur D Alene, ID 83814-2973
Mailing Address4204 N Moccasin RdCoeur D Alene, ID 83815-8826 · (208) 763-8920 · Fax (208) 763-8920
Phone(208) 763-8920
Fax(208) 203-0947
Organization SubpartNo
Authorized OfficialHeather KingCeo · (208) 763-8920
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1821910803 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.
250 NORTHWEST BLVD STE 200, Coeur D Alene, ID 83814
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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 2

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

JOHN MICHAEL THURSTON M.D.
Psychiatry & Neurology (Psychiatry)
250 NORTHWEST BLVD STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 225-8642
TMHCARE, PC
Psychiatry & Neurology (Psychiatry)
250 NORTHWEST BLVD STE 200
COEUR D ALENE, ID 83814
Kootenai County (208) 215-1568

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's NPI number?

The NPI number for Revitalize Health is 1821910803. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Revitalize Health located?

Revitalize Health is located at 250 Northwest Blvd Ste 200, Coeur D Alene, ID 83814. The listed phone number is (208) 763-8920.

What is Revitalize Health'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 Revitalize Health was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.