Revive Health and Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REVIVE HEALTH AND WELLNESS

Practice address

1636 Higdon Ferry Rd
Hot Springs, AR 71913-6912

Phone

(501) 382-1577

Fax

(501) 601-1280

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Courtney D McKinney, APRNNPI 1497299523

Title

Ceo

Phone

(501) 382-1577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 5

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

• Courtney D McKinney, NP

  • Family Nurse Practitioner
  • Malvern, AR
  • NPI 1497299523

  AR, Family

  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Kathleen Auld

  • Family Health Clinical Nurse Specialist
  • Hot Springs, AR
  • NPI 1336699941

  AR, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Lacy J Holley

  • Nurse Practitioner
  • Hot Springs, AR
  • NPI 1447893987

  AR, Family

  Medicare reassignment Care Compare group NPD
• Absalom H Tilley, M.D.

  • Internal Medicine Physician
  • Malvern, AR
  • NPI 1275558918

  AR

  Medicare reassignment Care Compare group NPD
• Kindra Daye Witkowski, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1497484505

  AR

  Medicare reassignment

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1114794385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DAISY LN",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045988",
            "telephone_number": "501-382-1577",
            "fax_number": "501-601-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HIGDON FERRY RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136912",
            "telephone_number": "501-382-1577",
            "fax_number": "501-601-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 S Main St",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721045231",
            "country_code": "US",
            "telephone_number": "501-382-1578",
            "fax_number": "501-601-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-382-1577",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaika Rehmani, MD
• Renal Treatment Centers Southeast LP
• Renal Treatment Centers-Southeast, LP.
• Resort Radiology, PLLC
• Vida Retzlaff, RD
• William Reyenga, M.D.
• Bridget Diane Reyes, APRN
• Sarah Elizabeth Reyna, APRN
• Reynolds Geriatric Apn Care, Inc
• Deborah Renae Reynolds, APN

• All providers in Hot Springs, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.