REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS – NPI #1053168948
Family Medicine

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Health Care Provider Taxonomy Code for Family Medicine

REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS is a provider located in LAKEVILLE, MN. NPPES has assigned the NPI number 1053168948 to REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS on April 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QB0002X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Obesity Medicine

The NPI profile was last updated on Oct 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS below.

NPI Profile for
REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS

NPI Number
1053168948
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVE HEALTH MEDICAL WEIGHT LOSS & WELLNESS
Primary location
10627 165TH ST W
LAKEVILLE, MN 55044-3517
Phone: (952) 243-5628 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAISA SCHMITZ
OWNER
Phone: (952) 243-5628
Updated
Certification Date
Oct 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QB0002X
- Family Medicine / Obesity Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.