Revive Health and Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REVIVE HEALTH AND WELLNESS, LLC

Practice address

2112 Bienville Blvd Ste M1
Ocean Springs, MS 39564-3027

Phone

(228) 324-5347

NPI assigned

Aug 6, 2022

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci J White, NPNPI 1316483084

Title

Owner

Phone

(228) 324-5347

Specialties & licenses 1

Addresses

Locations

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.

• Traci White, NP-C

  • Family Nurse Practitioner
  • Vancleave, MS
  • NPI 1316483084
  NPD Authorized official

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1255068425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17804 RIVERWALK DRIVE",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "39565",
            "telephone_number": "228-324-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BIENVILLE BLVD STE M1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643027",
            "telephone_number": "228-324-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-324-5347",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Urology PLLC
• Regional Urology PLLC
• Meggan Reisch, RNFA, CNOR
• Michael Renicks, M.D.
• Tammy Nicole Reus, MSN, FNP-C
• Jennifer Rhoades
• Richard Ted Rice, DDS
• Mary Richards, PHARMD
• Taylor Richardson, PHARMD
• Jamie Riley, NP

• Family Nurse Practitioner in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.