Revive Infusion & Wellness, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REVIVE INFUSION & WELLNESS, LLC

Practice address

14330 S Padre Island Dr Ste 114
Corpus Christi, TX 78418-6090

Phone

(833) 248-3747

Fax

(361) 236-2415

NPI assigned

Apr 27, 2026

Last updated

Apr 29, 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

Andrea Holley, NPNPI 1316690456

Title

Ceo

Phone

(409) 682-5403

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Andrea Louise Holley, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1316690456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1407792054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 S PADRE ISLAND DR STE 114",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186090",
            "telephone_number": "833-248-3747",
            "fax_number": "361-236-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 S PADRE ISLAND DR STE 114",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186090",
            "telephone_number": "833-248-3747",
            "fax_number": "361-236-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 Broadway St Unit G",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783823540",
            "country_code": "US",
            "telephone_number": "833-248-3747",
            "fax_number": "361-236-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2702 Highway 35 N Ste 2716",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "TX",
            "postal_code": "783825709",
            "country_code": "US",
            "telephone_number": "833-248-3747 x3",
            "fax_number": "361-236-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Shoreline Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784012009",
            "country_code": "US",
            "telephone_number": "833-248-3747 x2",
            "fax_number": "361-236-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13434 Leopard St Ste A10",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784104466",
            "country_code": "US",
            "telephone_number": "833-248-3747 x4",
            "fax_number": "361-236-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE INFUSION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-682-5403",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Health Services, LLC Dba Coastal Home Health Care
• Resurgence Therapy PLLC
• Retina Physicians of Corpus Christi, P.a.
• Retina Specialists, P.a. (Ronald R. Kuffel, Jr., MD)
• Amisha Revawala
• Jacqueline Vanessa Reyes Diaz, MD
• Celia Reyes-Acuna, M.D.
• Allison Reyes
• Cruz Ariana Reyes, AUD
• Erasmo Adrian Reyes, M.D.

• Multi-Specialty Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.