Revitalized Wellness
NPI 1104682590 · Psychiatric/Mental Health Nurse Practitioner · Duncanville, TX
Revitalized Wellness is a Psychiatric/Mental Health Nurse Practitioner organization in Duncanville, TX (NPI 1104682590).
Provider details
- NPI number
- 1104682590
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charmeka Lipscomb, Owner(972) 838-0652
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-02-23
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Frequently asked questions
- What is Revitalized Wellness's NPI number?
- Revitalized Wellness's National Provider Identifier (NPI) is 1104682590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalized Wellness?
- Revitalized Wellness is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revitalized Wellness located?
- Revitalized Wellness's practice location on file with NPPES is 1043 Meadow Run Dr, Duncanville, TX 75137-3599.
- What is Revitalized Wellness's phone number?
- The practice phone number listed in the NPPES registry for Revitalized Wellness is (972) 838-0652.
- Who is the authorized official for Revitalized Wellness?
- The authorized official listed on Revitalized Wellness's NPPES record is Charmeka Lipscomb, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalized Wellness's NPI active?
- Yes — Revitalized Wellness's NPI (1104682590) is active in the NPPES registry as of the last update on 2024-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.