Revitalized Wellness PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REVITALIZED WELLNESS PLLC

Practice address

326 E 8TH St Apt 206
Sioux Falls, SD 57103-7038

Phone

(605) 423-7557

Fax

(605) 305-1175

NPI assigned

Aug 11, 2020

Organization subpart

No

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

Authorized official

Name

Kristi Lynn RossNPI 1982008827

Title

Owner

Phone

(605) 423-7557

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD, IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Kristi Ross

  • Family Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1982008827

  IA

  Medicare reassignment Care Compare group NPD Authorized official
• David Matthew Martinez-Hakes, NP

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1215572060

  IA

  Medicare reassignment Care Compare group NPD
• Jessica R Thornton, DNP

  • Family Nurse Practitioner
  • Bedford, IA
  • NPI 1215597588
  Medicare reassignment Care Compare group NPD
• Frederick Ray Baier, D.C.

  • Chiropractor
  • Atlantic, IA
  • NPI 1164479366
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1760093025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 8TH ST STE 214-7054",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037011",
            "telephone_number": "605-423-7557",
            "fax_number": "605-305-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E 8TH ST APT 206",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037038",
            "telephone_number": "605-423-7557",
            "fax_number": "605-305-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6310 Bayshore Rd # 240",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342218429",
            "country_code": "US",
            "telephone_number": "605-423-7557",
            "fax_number": "605-305-1175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1981 G Ave",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "IA",
            "postal_code": "515664474",
            "country_code": "US",
            "telephone_number": "605-423-7557",
            "fax_number": "605-305-1175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Centennial Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012443",
            "country_code": "US",
            "telephone_number": "605-423-7557",
            "fax_number": "605-305-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVITALIZED WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-423-7557"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kristi.ross@250316249759748.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 E 8th St Ste 214-7054",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571037011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Sue Reurink, SLP
• Suzanne Denise Reuter, MD
• Els Reuvekamp
• Nicole Reuwsaat
• Reverence Counseling Services, LLC
• Revive Chiropractic P.C.
• Curtis Blake Rexroth
• Lisa K Reyes, MSW, CSW
• Kathy L Reynolds, MD
• Tommy R Reynolds, MD

• Primary Care Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Primary Care Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.