Revitalized Family Care
NPI 1508488750ActiveOrganization· Nurse Practitioner, Family· Sonora, CA
Nurse Practitioner, Family in Sonora, California, registered in NPPES in May 2020. The authorized official on file is Dayna Iverson, FNP, President.
Overview
| NPI | 1508488750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certified by provider | May 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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