Active NPI
Revive Institute of Sexual Health, LLC
- Adult Health Nurse Practitioner
- Edgewater, MD
National Provider Identifier
1528913332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- REVIVE INSTITUTE OF SEXUAL HEALTH, LLC
- Practice address
- 30 Millhaven CT
Edgewater, MD 21037-1825 - Phone
- (410) 980-7317
- NPI assigned
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Zwonitzer, DNP
- Title
- Owner/Provider
- Phone
- (410) 980-7317
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
30 Millhaven CT
Edgewater, MD 21037-1825
Mailing address
30 Millhaven CT
Edgewater, MD 21037-1825
Phone (410) 980-7317
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1528913332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MILLHAVEN CT",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371825",
"telephone_number": "410-980-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MILLHAVEN CT",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371825",
"telephone_number": "410-980-7317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE INSTITUTE OF SEXUAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "ZWONITZER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "410-980-7317",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.