1. Home
  2. Directory
  3. Maryland
  4. Hunt Valley
  5. Preventive Medicine
  6. NPI Profile

REVIVE MEDSPA LLC
NPI 1992553903
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Hunt Valley, MD

Active since May 07, 2024
11350 MCCORMICK RD STE 800, HUNT VALLEY, MD 21031(410) 261-6199 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Medspa Llc NPPES

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

REVIVE MEDSPA LLC (NPI 1992553903) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Hunt Valley, Maryland and active in the NPI registry since May 2024. The organization lists Brandi Tanasescu, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992553903
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameREVIVE MEDSPA LLC
Location Address11350 MCCORMICK RD STE 800Hunt Valley, MD 21031-1002
Mailing Address11350 Mccormick Rd Ste 800Hunt Valley, MD 21031-1002
Phone(410) 261-6199
Organization SubpartNo
Authorized OfficialBrandi TanasescuCfo · (410) 812-5871
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1992553903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
11350 MCCORMICK RD STE 800, Hunt Valley, MD 21031
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

SYDNEY STONE LMSW
Social Worker
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
MRS. JENNIFER L LANNIGAN LCSW-C
Social Worker (Clinical)
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 259-0271
ANGELICA N BRISTOR LMSW
Social Worker
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
MS. MICHELLE JOLLEY LCPC
Counselor (Mental Health)
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
THOMAS AUSTIN-BRAXTON LAC., MAC.
Acupuncturist
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
AMY NICHOLSON LCSW-C
Social Worker (Clinical)
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
MRS. LEAH CHILDERS LCPC
Counselor (Mental Health)
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169
HEATHER SOWERS LCSW-C
Social Worker (Clinical)
11350 MCCORMICK RD STE 800
HUNT VALLEY, MD 21031
Baltimore County (410) 800-2169

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 Medspa LLC's NPI number?

The NPI number for Revive Medspa LLC is 1992553903. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Revive Medspa LLC located?

Revive Medspa LLC is located at 11350 Mccormick Rd Ste 800, Hunt Valley, MD 21031. The listed phone number is (410) 261-6199.

What is Revive Medspa LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Revive Medspa LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.