Revive Drip

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

REVIVE DRIP

Practice address

5800 Soundview Dr Ste B201
Gig Harbor, WA 98335-2064

Phone

(253) 858-3800

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Heather Pounds, ARNP

Title

Medical Director

Phone

(253) 222-4939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1710797287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR STE B201",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352064",
            "telephone_number": "253-858-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR STE B201",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352064",
            "telephone_number": "253-858-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE DRIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-222-4939",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.