Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIVE HYDRATION PLLC
NPI 1831003250
Nurse Practitioner - Psychiatric/Mental Health in Red Bud, IL

Active since October 01, 2026
505 S MAIN ST, RED BUD, IL 62278(618) 408-1248 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Revive Hydration Pllc NPPES

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

REVIVE HYDRATION PLLC (NPI 1831003250) is a healthcare organization registered as a psychiatric/mental health in Red Bud, Illinois and active in the NPI registry since October 2026. The organization lists Jennifer Knott, Owner / Member, as its authorized official.

NPPES Registry Identity

NPI1831003250
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVE HYDRATION PLLC
Location Address505 S MAIN STRed Bud, IL 62278-1212
Mailing Address4740 Kane Hill RdEllis Grove, IL 62241-1728 · (618) 408-1248
Organization SubpartNo
Authorized OfficialJennifer KnottOwner / Member · (618) 615-8898
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1831003250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
505 S MAIN ST, Red Bud, IL 62278

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.

Counselor (Professional)
505 S MAIN ST
RED BUD, IL 62278
Counselor (Professional)
505 S MAIN ST
RED BUD, IL 62278

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 Hydration PLLC's NPI number?

The NPI number for Revive Hydration PLLC is 1831003250. It was assigned to this organization in the NPPES registry on October 1, 2026.

Where is Revive Hydration PLLC located?

Revive Hydration PLLC is located at 505 S Main St, Red Bud, IL 62278. The listed phone number is (618) 408-1248.

What is Revive Hydration PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Revive Hydration PLLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.