Revive Salon and Spa
NPI 1619415072ActiveOrganization· Nurse Practitioner, Family· San Diego, CA
Nurse Practitioner, Family in San Diego, California, registered in NPPES in February 2017. The authorized official on file is Mary Lynn Elizabeth Eichert, NP, Nurse Practitioner.
Overview
| NPI | 1619415072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2017 |
| Last updated in NPPES | Feb 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95005931 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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