Revive Health Connection

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REVIVE HEALTH CONNECTION

Practice address

5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014

Phone

(901) 909-0546

Fax

(901) 909-0547

NPI assigned

Mar 12, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamekia Lindsay Thompson, NURSE PRACTITIONER

Title

Vice President

Phone

(901) 691-7007

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1962201905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-909-0546",
            "fax_number": "901-909-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-909-0546",
            "fax_number": "901-909-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "LINDSAY THOMPSON",
        "authorized_official_first_name": "TAMEKIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-691-7007",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Revive Psychiatry
• Reagan Revon
• Todd Rexroat, PHARM.D.
• Rochelle Reyle, LPC-MHSP
• Alexis Rashelle Reynolds

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.