Revive & Thrive Health Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

REVIVE & THRIVE HEALTH SERVICES

Practice address

293 Evergreen CT
Pickerington, OH 43147-7721

Phone

(937) 369-4320

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly-Ann Shipp, NPNPI 1609364454

Title

Owner/NP

Phone

(937) 369-4320

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimberly-Ann O. Shipp, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1609364454
  NPD Authorized official

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1043023179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 EVERGREEN CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477721",
            "telephone_number": "937-369-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 EVERGREEN CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477721",
            "telephone_number": "937-369-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE & THRIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "SHIPP",
        "authorized_official_first_name": "KIMBERLY-ANN",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "937-369-4320",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.