Re.Vitalize Wellness, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

RE.VITALIZE WELLNESS, LLC

Practice address

1110 Cottonwood LN Ste 165
Irving, TX 75038-6117

Phone

(817) 677-8033

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Kristi Harral, DNP, MSN, MHA, RN

Title

Co-Owner

Phone

(817) 677-8033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1457276743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 165",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "817-677-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 165",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "817-677-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE.VITALIZE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "HARRAL",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "817-677-8033",
        "authorized_official_credential": "DNP, MSN, MHA, RN"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.