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REVIVED WELLNESS LLC
NPI 1891653523
Family Medicine in Centerville, UT

Active since January 12, 2026
776 E 800 S, CENTERVILLE, UT 84014(801) 424-9922 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revived Wellness Llc NPPES

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

REVIVED WELLNESS LLC (NPI 1891653523) is a healthcare organization registered as a family medicine in Centerville, Utah and active in the NPI registry since January 2026. The organization lists Jonathan Barker, Manager, as its authorized official.

NPPES Registry Identity

NPI1891653523
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVIVED WELLNESS LLC
Location Address776 E 800 SCenterville, UT 84014-2512
Mailing Address776 E 800 SCenterville, UT 84014-2512 · (801) 424-9922
Phone(801) 424-9922
Organization SubpartNo
Authorized OfficialJonathan BarkerManager · (801) 499-2373
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1891653523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
776 E 800 S, Centerville, UT 84014
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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

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 Revived Wellness LLC's NPI number?

The NPI number for Revived Wellness LLC is 1891653523. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Revived Wellness LLC located?

Revived Wellness LLC is located at 776 E 800 S, Centerville, UT 84014. The listed phone number is (801) 424-9922.

What is Revived Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revived Wellness LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.