Revive Health Medical Weight Loss & Wellness

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS

Practice address

10627 165TH St W
Lakeville, MN 55044-3517

Phone

(952) 243-5628

NPI assigned

Apr 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kaisa Schmitz, DONPI 1548604754

Title

Owner

Phone

(952) 243-5628

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kaisa Elizabeth Schmitz, D.O.

  • Family Medicine Physician
  • Savage, MN
  • NPI 1548604754
  NPD Authorized official

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1053168948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443517",
            "telephone_number": "952-243-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "KAISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-243-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RBF LLC (Rainbow Pharmacy)
• Ethan Rekedal, DPT
• Kali Jade Rencountre
• Jonah Mitchell Resnick, O.D.
• Restwell Mattress Company (Restwell Mattress Factory)
• Alexander David Reynolds
• Allison Adele Reynolds, RD
• Teresa Rhone, O.D.
• Alexandra R Riley, DNP
• Rivers Edge Dental Clinic, PLLC

• Obesity Medicine (Family Medicine) Physician in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Obesity Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.