Revital Health and Wellness Clinics PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

REVITAL HEALTH AND WELLNESS CLINICS PLLC

Practice address

695 President PL Ste 200
Smyrna, TN 37167-5681

Phone

(615) 768-5552

Fax

(615) 768-5583

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Brandon Sweat, NPNPI 1952653057

Title

Owner/NP

Phone

(615) 768-5552

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Joseph B Sweat, NP-C

  • Family Nurse Practitioner
  • Lyles, TN
  • NPI 1952653057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1902378581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-768-5552",
            "fax_number": "615-768-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-768-5552",
            "fax_number": "615-768-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITAL HEALTH AND WELLNESS CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "SWEAT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "615-768-5552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reiker
• Reliable Medical Supply LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Results-Ast JV, LLC
• Rosangel Reyes
• Catherine Rachel Reynolds, RN
• Rachel Morales Ricafort, MD
• Tina R. Rice, RN
• Richard C Huddleston MD PC

• Primary Care Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.