Revitalis LLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

REVITALIS LLC

Practice address

7600 E Camelback Rd Ste 7
Scottsdale, AZ 85251-2106

Phone

(480) 520-3223

Fax

(480) 847-3223

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Nathan Jowett, MD, PHDNPI 1750790663

Title

Director

Phone

(480) 520-3223

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Jowett, MD, PHD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Scottsdale, AZ
  • NPI 1750790663

  Facial Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1710788294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD STE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-520-3223",
            "fax_number": "480-847-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD STE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-520-3223",
            "fax_number": "480-847-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "JOWETT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-520-3223",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison E.F. Reuter, PHD IN PSYCHOLOGY
• Andrew Michael Reuter, MD
• Jordan Reuter, PMHNP-BC
• Revati Mummaneni MD PLLC
• Jacqueline M Reveal, DNP, FNP-BC
• Dana Marie Reyes, PHARMD
• Daniella Andrea Reyes
• Vanessa Reyes, R.N.
• Andrea Rose Reyhons
• Joan M Reynolds, P.A.-C.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Arizona

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