Revival Wellness Company

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REVIVAL WELLNESS COMPANY

Practice address

211 S Pennsylvania Ave
Greensburg, PA 15601-3006

Phone

(412) 709-5119

Fax

(412) 426-3770

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

REVIVAL WELLNESS COMPANYAs reported in NPPES

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

Authorized official

Name

Dr. Kami Beveridge Wast, DNP, CRNPNPI 1619567161

Title

Owner

Phone

(724) 858-6261

Specialties & licenses 2

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.

• Kami Wast, CRNP

  • Family Nurse Practitioner
  • Greensburg, PA
  • NPI 1619567161
  Authorized official Same address or phone

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1407753957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S PENNSYLVANIA AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013006",
            "telephone_number": "412-709-5119",
            "fax_number": "412-426-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PENNSYLVANIA AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013006",
            "telephone_number": "412-709-5119",
            "fax_number": "412-426-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL WELLNESS COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVIVAL WELLNESS COMPANY",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "WAST",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "BEVERIDGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-858-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Stunja Revers, PA-C
• Jeffrey Allan Reyer, D.O.
• Kennedy Rhodes
• David Rice, M.D.
• Richard Hoffman (Christian Counseling Associates of Eastern Ohio)
• Richard Hoffman (Christian Counseling Associates of Western PA)

• Family Nurse Practitioner in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

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