Revive Infusion Bar

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

REVIVE INFUSION BAR

Doing business as

Revive Infusion Bar

Practice address

7272 Hanover Green Dr Ste B
Mechanicsville, VA 23111-1706

Phone

(804) 277-9997

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Sandra Hill, AGACNPNPI 1861019754

Title

NP

Phone

(804) 277-9992

Specialties & licenses 1

Addresses

Other names 1

• Revive Infusion Bar Doing business as

Locations

Practitioners 1

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

• Sandra Hill

  • Acute Care Nurse Practitioner
  • North Prince George, VA
  • NPI 1861019754
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1174374276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 HANOVER GREEN DR STE B",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "804-277-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 HANOVER GREEN DR STE B",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "804-277-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INFUSION BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "804-277-9992",
        "authorized_official_credential": "AGACNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Infusion Bar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abilio A. Reis, M.D.
• Natalie Gail Relph, M.D.
• Renewed Resilience, LLC
• Resilience Counseling, LLC
• Restore Therapeutic Foster Care Agency (Restore TFC)
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Mechanicsville)
• Forrest Thomas Rice, PT, DPT
• April A Richards
• James Richards, DPT
• Emily Joy Richardson, DNP, FNP-BC

• Infusion Therapy Clinic/Center in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Infusion Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.