NPIMap

Organization Active NPI

Revive Infusion

  • Home Infusion Agency
  • Oklahoma City, OK
National Provider Identifier
1205509619
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
REVIVE INFUSION
Practice address
6904 Saint Marys PL
Oklahoma City, OK 73132-6821
Phone
(405) 229-9600
NPI assigned
Jul 30, 2021
Last updated
Nov 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Authorized official

Name
Melisa D Alexander, RNNPI 1962179705
Title
Co Owner
Phone
(405) 229-9600

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
Home Infusion Agency 251F00000X Primary

Addresses

Primary practice location

6904 Saint Marys PL
Oklahoma City, OK 73132-6821

Mailing address

6904 Saint Marys PL
Oklahoma City, OK 73132-6821
Phone (405) 229-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kareo Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636156800000",
    "number": "1205509619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 SAINT MARYS PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326821",
            "telephone_number": "405-229-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 SAINT MARYS PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731326821",
            "telephone_number": "405-229-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "405-229-9600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "6904 Saint Marys Pl",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731326821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.