Revive Wellness and Beauty, LLC
NPI 1265230148ActiveOrganization· Nurse Practitioner, Family· San Tan Valley, AZ
Nurse Practitioner, Family in San Tan Valley, Arizona, registered in NPPES in March 2025. The authorized official on file is Kristina McKinzie, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265230148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2025 |
| Last updated in NPPES | Mar 5, 2025 |
| Certified by provider | Mar 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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