Organization Active NPI

Revive and Thrive Integrative Medicine LLC

  • Family Nurse Practitioner
  • Anna, OH
National Provider Identifier
1982556502
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REVIVE AND THRIVE INTEGRATIVE MEDICINE LLC
Practice address
14074 Pasco Montra Rd
Anna, OH 45302-9708
Phone
(937) 646-5026
Fax
(888) 222-6607
NPI assigned
Feb 14, 2026
Last updated
Feb 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Authorized official

Name
Mrs. Cindy Fleming, CNPNPI 1063014330
Title
Owner
Phone
(937) 646-5026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

14074 Pasco Montra Rd
Anna, OH 45302-9708

Mailing address

14074 Pasco Montra Rd
Anna, OH 45302-9708
Phone (937) 646-5026

National Provider Directory

National Provider Directory

Practitioners & 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": "1771027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1982556502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 PASCO MONTRA RD",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "453029708",
            "telephone_number": "937-646-5026",
            "fax_number": "888-222-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 PASCO MONTRA RD",
            "city": "ANNA",
            "state": "OH",
            "postal_code": "453029708",
            "telephone_number": "937-646-5026",
            "fax_number": "888-222-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE AND THRIVE INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-646-5026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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": [],
    "other_names": []
}

Other providers in Anna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.