Revolution Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REVOLUTION WELLNESS

Practice address

37283 Swamp Rd Ste 1102
Prairieville, LA 70769-3232

Phone

(225) 931-5699

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Valentine, FNP-CNPI 1043678550

Title

Owner/NP

Phone

(225) 245-9355

Specialties & licenses 1

Addresses

Other names 1

• JB Aesthetics Former legal business name

Locations

Practitioners 2

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

• Holly Valentine, FNP-C

  • Family Nurse Practitioner
  • Prairieville, LA
  • NPI 1043678550
  NPD Authorized official
• Jordan Brignac, APRN, FNP

  • Family Nurse Practitioner
  • Prairieville, LA
  • NPI 1528410594
  NPD

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1174411102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37283 SWAMP RD STE 1102",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693232",
            "telephone_number": "225-245-9355",
            "fax_number": "225-536-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37283 SWAMP RD STE 1102",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693232",
            "telephone_number": "225-931-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "225-245-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JB Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JB Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Matthew Randall, DMD
• Ready Rollin Transportation LLC
• Latasha Nicole Reed
• Chelsea Reinhardt
• Relief Health Group, LLC
• Passion Rhodes
• Kristen Richard, RN, MSN
• Caijah Ricks
• Right Choice Transportation LLC
• Tyranesha Riley

• Primary Care Clinic/Center in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.