Organization Active NPI

Revive Nonprofit

Doing business as Revive

  • Health Maintenance Organization
  • Blue Ash, OH
National Provider Identifier
1548059470
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
REVIVE NONPROFIT
Doing business as
Revive
Practice address
11427 Reed Hartman Hwy
Blue Ash, OH 45241-2418
Phone
(513) 549-1846
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Sanaa Irby, NP
Title
Nurse Practitioner
Phone
(513) 549-1846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

11427 Reed Hartman Hwy
Blue Ash, OH 45241-2418

Mailing address

11427 Reed Hartman Hwy
Blue Ash, OH 45241-2418
Phone (513) 549-1846

Other names 1

  • REVIVE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1548059470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-549-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-549-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE NONPROFIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "SANAA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "513-549-1846",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.