Revitalize Nutrition Corp

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

REVITALIZE NUTRITION CORP

Practice address

7308 N Western Ave
Oklahoma City, OK 73116-7120

Phone

(405) 625-6488

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

David Meyer, RN

Title

President

Phone

(405) 201-0001

Specialties & licenses 1

Addresses

Other names 1

• IV Nutrition Doing business as

Locations

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1306635537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-625-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-625-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE NUTRITION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-201-0001",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IV Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cacee Reuben, ATC
• Dayna Joyce Reust, A.P.R.N.
• Frederick Blake Reuter, M.D.
• Revelation Enterprises Inc
• Revelation Medical of Oklahoma City LLC
• Revitalizing Hope, LLC
• Revive Clinic LLC
• Revive DME
• Revive Health of Oklahoma LLC
• Revive Health Services

• Infusion Therapy Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Infusion Therapy Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.