Organization Active NPI

Revive Wellness NC

  • Primary Care Nurse Practitioner
  • Knightdale, NC
National Provider Identifier
1295664290
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
REVIVE WELLNESS NC
Practice address
7633 Knightdale Blvd Ste 106B
Knightdale, NC 27545-9015
Phone
(919) 521-0833
NPI assigned
May 15, 2026
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Mrs. Kari Anne Spencer, FNP-CNPI 1457929903
Title
Nurse Pracitioner/Owner
Phone
(919) 521-0833

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
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

7633 Knightdale Blvd Ste 106B
Knightdale, NC 27545-9015

Mailing address

7633 Knightdale Blvd Ste 106B
Knightdale, NC 27545-9015
Phone (919) 521-0833

National Provider Directory

National Provider Directory

Locations

7633 Knightdale Blvd
Ste 106B
Knightdale, NC 27545
Phone (919) 521-0833

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": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1295664290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 KNIGHTDALE BLVD STE 106B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459015",
            "telephone_number": "919-521-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 KNIGHTDALE BLVD STE 106B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459015",
            "telephone_number": "919-521-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE WELLNESS NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "NURSE PRACITIONER/OWNER",
        "authorized_official_telephone_number": "919-521-0833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.