Revolutionary Health
NPI 1053930107 · Multi-Specialty Clinic/Center · Palm Springs, FL
Revolutionary Health is a Multi-Specialty Clinic/Center organization in Palm Springs, FL (NPI 1053930107).
Provider details
- NPI number
- 1053930107
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wikenson Jestine, Manager(561) 713-4819
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-09
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Frequently asked questions
- What is Revolutionary Health's NPI number?
- Revolutionary Health's National Provider Identifier (NPI) is 1053930107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolutionary Health?
- Revolutionary Health is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revolutionary Health located?
- Revolutionary Health's practice location on file with NPPES is 3175 S Congress Ave Ste 203, Palm Springs, FL 33461-2562.
- What is Revolutionary Health's phone number?
- The practice phone number listed in the NPPES registry for Revolutionary Health is (561) 328-7527.
- Who is the authorized official for Revolutionary Health?
- The authorized official listed on Revolutionary Health's NPPES record is Wikenson Jestine, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolutionary Health's NPI active?
- Yes — Revolutionary Health's NPI (1053930107) is active in the NPPES registry as of the last update on 2020-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.