Organization Active NPI

Revital Glow Aesthetics & Wellness

  • Nurse Practitioner
  • Rocklin, CA
National Provider Identifier
1851214548
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
REVITAL GLOW AESTHETICS & WELLNESS
Practice address
6810 Five Star Blvd Ste 300
Rocklin, CA 95677-2698
Phone
(916) 584-6037
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Nakisha Sattelmaier
Title
Nurse Practitioner, Owner
Phone
(253) 468-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6810 Five Star Blvd Ste 300
Rocklin, CA 95677-2698

Mailing address

6810 Five Star Blvd Ste 300
Rocklin, CA 95677-2698
Phone (916) 584-6037

National Provider Directory

National Provider Directory

Locations

6810 Five Star Blvd
Ste 300
Rocklin, CA 95677

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1851214548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 FIVE STAR BLVD STE 300",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772698",
            "telephone_number": "916-584-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 FIVE STAR BLVD STE 300",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772698",
            "telephone_number": "916-584-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITAL GLOW AESTHETICS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SATTELMAIER",
        "authorized_official_first_name": "NAKISHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "253-468-5704"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.