REVITALIZED WELLNESS, PLLC (NPI# 1760093025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760093025 |
| Entity Type | Organization |
| Organization Name | REVITALIZED WELLNESS, PLLC |
| Practice Address |
401 E 8th St Ste 214-7054 Sioux Falls SD 57103-7011 |
| Practice Telephone | 6054237557 |
| Practice Fax Number | 6053051175 |
| Mailing Telephone | 6054237557 |
| Mailing Fax Number | 6053051175 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | KRISTI LYNN ROSS (OWNER) |
| Authorized Official Telephone | 2519799825 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
401 E 8TH ST STE 214-7054 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-7011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548570450 | Hubbel Chiropractic Clinic, PC | Clinic/Center | 510 W. 24th Street, Sioux Falls, SD 57105-1700 | 2010-10-13 |
| 1497385348 | Paragon Health & Wellness, LLC | Clinic/Center | 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 | 2020-01-20 |
| 1467791228 | Avera Mckennan | Clinic/Center | 212 E 11th St, Sioux Falls, SD 57104-6479 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831492958 | About You Physical Therapy, Inc | Clinic/Center | 5622 Sheridan Lake Rd Ste 105, Rapid City, SD 57702-8881 | 2010-12-11 |
| 1649412966 | Cheyenne River Sioux Tribe | Clinic/Center | Howes, Howes, SD 57748-0000 | 2009-04-01 |
| 1295977510 | Cherry Creek Tribal Health Center | Clinic/Center | Cherry Creek, Cherry Creek, SD 57622 | 2009-04-01 |
| 1104068428 | Cheyenne River Sioux Tribe | Clinic/Center | Swfitbird Community, Swiftbird, SD 57637-0000 | 2009-04-01 |
| 1588806806 | White Horse Tribal Health Center | Clinic/Center | White Horse Community, White Horse, SD 57661 | 2009-04-01 |
| 1093335333 | Mobridge Regional Hospital | Clinic/Center | 4401 Main St, Selby, SD 57472-2010 | 2020-04-16 |
| 1588223440 | Danielle Hohm, Fnp, Family Wellness Clinic | Clinic/Center | 317 6th Ave, Brookings, SD 57006-2042 | 2019-06-13 |
| 1437629128 | Root Function Wellness Pllc | Clinic/Center | 2320 9th Ave Se, Watertown, SD 57201-7112 | 2018-11-26 |
| 1992206023 | Black Hills Family Practice Inc | Clinic/Center | 1010 Ballpark Rd Ste 3, Sturgis, SD 57785-2208 | 2018-02-23 |
| 1619373065 | James D Kerr | Clinic/Center | 613 Walnut St, Yankton, SD 57078-3645 | 2014-11-12 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
Please comment or provide details below to improve the information on REVITALIZED WELLNESS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.