Revive Health Center of Utah LLC
NPI 1184042236ActiveOrganization· Licensed Practical Nurse· Layton, UT
Licensed Practical Nurse in Layton, Utah, registered in NPPES in April 2014. The authorized official on file is Jacob Tippetts, Administrator.
Overview
| NPI | 1184042236 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2014 |
| Last updated in NPPES | Apr 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 1851542872 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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