Revitalist
NPI 1073168241 · Community/Behavioral Health Agency · Knoxville, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalist is a Community/Behavioral Health Agency organization in Knoxville, TN (NPI 1073168241).
Provider details
- NPI number
- 1073168241
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kathryn Walker, Principal Employee(865) 392-6262
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
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
- 2019-08-05
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Revitalist's NPI number?
- Revitalist's National Provider Identifier (NPI) is 1073168241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalist?
- Revitalist is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Revitalist located?
- Revitalist's practice location on file with NPPES is 10608 Flickenger Ln, Knoxville, TN 37922-3485.
- What is Revitalist's phone number?
- The practice phone number listed in the NPPES registry for Revitalist is (865) 392-6262.
- Does Revitalist accept Medicare?
- Revitalist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revitalist?
- The authorized official listed on Revitalist's NPPES record is Kathryn Walker, Principal Employee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalist's NPI active?
- Yes — Revitalist's NPI (1073168241) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.