Revitalize LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

REVITALIZE LLC

Practice address

1031 Office Park Rd Ste 2
West Des Moines, IA 50265-2582

Phone

(515) 822-6384

Fax

(800) 507-4921

NPI assigned

Sep 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Sieve, PANPI 1972098150

Title

Business Owner

Phone

(515) 822-6384

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Sieve, PA-C

  • Physician Assistant
  • West Des Moines, IA
  • NPI 1972098150
  NPD Authorized official
• Laura Howe

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
  • NPI 1902299779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1033090303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 OFFICE PARK RD STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652582",
            "telephone_number": "515-822-6384",
            "fax_number": "800-507-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 OFFICE PARK RD STE 2",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652582",
            "telephone_number": "515-822-6384",
            "fax_number": "800-507-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SIEVE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "515-822-6384",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Results Sports and Fitness (Neighborhood Athletes Healthcare)
• Kathleen Rethman
• Revell-Warrington Dental PC (Des Moines Children's Dentistry)
• Rachael Anne Revell, D.D.S.
• Revision Therapy PLLC
• Jessica D Reyes
• Kimberly Reyes
• Ramon Santiago Reyes, M.D.
• Joel Steven Reynolds, D.D.S.
• Randal David Reynolds, PH.D.

• Physician Assistant in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.