Active NPI
The Revival Reserve
- Ambulatory Care Registered Nurse
- Arlington, VA
National Provider Identifier
1922968692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- Legal business name
- THE REVIVAL RESERVE
- Practice address
- 1025 N Fillmore St Apt 228
Arlington, VA 22201-6703 - Phone
- (704) 258-1453
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Kharnas
- Title
- Co-Owner
- Phone
- (704) 258-1453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | Primary |
Addresses
Primary practice location
1025 N Fillmore St Apt 228
Arlington, VA 22201-6703
Mailing address
1025 N Fillmore St Apt 228
Arlington, VA 22201-6703
Phone (704) 258-1453
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1922968692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N FILLMORE ST APT 228",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222016703",
"telephone_number": "704-258-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N FILLMORE ST APT 228",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222016703",
"telephone_number": "704-258-1453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE REVIVAL RESERVE",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "KHARNAS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "704-258-1453"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Ambulatory Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
- The Momager Collective (Ceremonia School)
- The Montgomery Medical Clinic (Capitol Travel Medicine)
- The Physician and Midwife Collaborative Practice
- The Renascence Group PLLC
- The Retina Group of Washington, PLLC
- The Shift With Dr. Ellen (Body Harmony of Arlington)
- The Teal Center for Therapeutic Bodywork, LTD.
- The Ultimate You, LLC
- Umera Thebo, MD
- Jillian Antoinette Theryon, LICSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.