Revivify Wound Care and Soft Tissue Specialist
NPI 1134016397 · Family Nurse Practitioner · Las Vegas, NV
Revivify Wound Care and Soft Tissue Specialist is a Family Nurse Practitioner organization in Las Vegas, NV (NPI 1134016397).
Provider details
- NPI number
- 1134016397
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Juan Gutierrez, Owner(702) 886-2269
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
1 yr 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
- 2025-06-20
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Revivify Wound Care and Soft Tissue Specialist's NPI number?
- Revivify Wound Care and Soft Tissue Specialist's National Provider Identifier (NPI) is 1134016397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivify Wound Care and Soft Tissue Specialist?
- Revivify Wound Care and Soft Tissue Specialist is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revivify Wound Care and Soft Tissue Specialist located?
- Revivify Wound Care and Soft Tissue Specialist's practice location on file with NPPES is 4533 Merkel Bluff St, Las Vegas, NV 89147-5128.
- What is Revivify Wound Care and Soft Tissue Specialist's phone number?
- The practice phone number listed in the NPPES registry for Revivify Wound Care and Soft Tissue Specialist is (702) 886-2269.
- Who is the authorized official for Revivify Wound Care and Soft Tissue Specialist?
- The authorized official listed on Revivify Wound Care and Soft Tissue Specialist's NPPES record is Juan Gutierrez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivify Wound Care and Soft Tissue Specialist's NPI active?
- Yes — Revivify Wound Care and Soft Tissue Specialist's NPI (1134016397) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.