REVIVIFY BIOLOGICS
NPI 1952815466
Nurse Practitioner in Grapevine, TX

Active since November 20, 2017
4100 HERITAGE AVE, GRAPEVINE, TX 76051(817) 886-4319 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revivify Biologics NPPES

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

REVIVIFY BIOLOGICS (NPI 1952815466) is a healthcare organization registered as a nurse practitioner in Grapevine, Texas and active in the NPI registry since November 2017. The organization lists Ellen Rose Becker, Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1952815466
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREVIVIFY BIOLOGICS
Location Address4100 HERITAGE AVEGrapevine, TX 76051-5714
Mailing Address62 Main St Ste 110Colleyville, TX 76034-2931 · (817) 886-4319
Organization SubpartNo
Authorized OfficialEllen Rose BeckerNurse Practioner · (817) 886-4319
Enumeration DateNovember 20, 2017
NPI 1952815466 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.

4100 HERITAGE AVE, Grapevine, TX 76051

Other Names 1

Doing Business AsRevivify Biologics

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 7

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

Internal Medicine
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Internal Medicine (Cardiovascular Disease)
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Internal Medicine
4100 HERITAGE AVE, SUITE 106
GRAPEVINE, TX 76051
Internal Medicine
4100 HERITAGE AVE, SUITE 102
GRAPEVINE, TX 76051
Family Medicine
4100 HERITAGE AVE, SUITE106
GRAPEVINE, TX 76051
Internal Medicine
4100 HERITAGE AVE, STE 106
GRAPEVINE, TX 76051
Specialist/Technologist (Athletic Trainer)
4100 HERITAGE AVE
GRAPEVINE, TX 76051

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 Revivify Biologics's NPI number?

The NPI number for Revivify Biologics is 1952815466. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Revivify Biologics located?

Revivify Biologics is located at 4100 Heritage Ave, Grapevine, TX 76051. The listed phone number is (817) 886-4319.

What is Revivify Biologics'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 Revivify Biologics was last updated on November 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.