Thrive Revival DNP Nursing Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

THRIVE REVIVAL DNP NURSING INC

Practice address

1000 Newbury Rd #210
Thousand Oaks, CA 91320

Phone

(805) 309-1937

Fax

(805) 269-8951

NPI assigned

Sep 10, 2026

Organization subpart

No

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

Authorized official

Name

Ammie Eden Kahl, FNP-BC

Title

Ceo

Phone

(805) 309-1937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1053221200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629507",
            "telephone_number": "805-309-1937",
            "fax_number": "805-269-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD #210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-309-1937",
            "fax_number": "805-269-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE REVIVAL DNP NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KAHL",
        "authorized_official_first_name": "AMMIE",
        "authorized_official_middle_name": "EDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-309-1937",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "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 Sep 10, 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.