NPIMap

Organization Active NPI

Revival Health

  • Clinic/Center
  • Sarasota, FL
National Provider Identifier
1184230674
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REVIVAL HEALTH
Practice address
1343 Main St Ste 404
Sarasota, FL 34236-5621
Phone
(862) 219-8573
Fax
(941) 740-5496
NPI assigned
Sep 20, 2020
Last updated
Sep 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Authorized official

Name
Brittany Michaela Gutschmidt, NPNPI 1780240721
Title
Owner
Phone
(862) 219-8573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1343 Main St Ste 404
Sarasota, FL 34236-5621

Mailing address

1343 Main St Ste 404
Sarasota, FL 34236-5621
Phone (862) 219-8573

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://revivalhealth.md-hq.com/

National Provider Directory

National Provider Directory

Locations

1343 Main St
Ste 404
Sarasota, FL 34236
Phone (862) 219-8573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1184230674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 MAIN ST STE 404",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365621",
            "telephone_number": "862-219-8573",
            "fax_number": "941-740-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 MAIN ST STE 404",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365621",
            "telephone_number": "862-219-8573",
            "fax_number": "941-740-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "GUTSCHMIDT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "MICHAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-219-8573",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://revivalhealth.md-hq.com/",
            "affiliation": "N",
            "endpointDescription": "Secured messaging through EMR",
            "address_1": "1343 Main St Ste 404",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342365621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.