Revive Integrative Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REVIVE INTEGRATIVE MEDICINE

Practice address

105 Westside Medical Blvd
Lufkin, TX 75904-1461

Phone

(936) 699-5284

Fax

(936) 699-5285

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Sapphira Clark, APRN- FNP-CNPI 1407218902

Title

Owner

Phone

(936) 635-0087

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sapphira Jo Clark, NP

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1407218902
  NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1063388643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTSIDE MEDICAL BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041461",
            "telephone_number": "936-699-5284",
            "fax_number": "936-699-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTSIDE MEDICAL BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041461",
            "telephone_number": "936-699-5284",
            "fax_number": "936-699-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SAPPHIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-635-0087",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN- FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Carroll Reel, DPM
• Regional Physical Therapy Center Limited Partnership
• Regional Physical Therapy Center Limited Partnership
• Renal Treatment Centers Southeast LP
• Restoration in the Pines, Counseling & Wellness, PLLC
• Kyrie A Reyes, LCDC
• Austin Reynolds
• Brittany Kay Reynolds
• Rhapsody Emergency Physicians, PPLC
• Richard Roby MD PA

• Primary Care Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.