Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revitalize Health and Wellness LLC

Nurse Practitioner in Choctaw, OK · enumerated 2025 · authorized official Bethany Bia, Part Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255125019

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Revitalize Health and Wellness LLC

Practice address 16339 Silver Spring Dr, Choctaw, OK, 73020

Phone (918) 633-0622

Enumeration date Apr 7, 2025

Last updated in NPPES Sep 5, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207QS1201X Sleep Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Bethany Bia

Title Part Owner

Phone (918) 633-0622

Other identifiers

Identifier	Type	State	Issuer
1629739891	Medicaid	OK	-
17770075764	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Revitalize Health and Wellness LLC?

Revitalize Health and Wellness LLC is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-05.