OrganizationActive
Revive Medical Spa LLC
NPI 1467175943 · Multi-Specialty Clinic/Center · Fairbanks, AK
Provider details
- NPI number
- 1467175943
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karolina Priebe, Owner/Partner/Nurse Practitioner(907) 371-1766
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1905 Cowles St Ste B
Fairbanks, AK 99701-5914
Phone: (907) 371-1766
Fax: (907) 531-7365
Street-level locationGet directions
Mailing address
1905 Cowles St Ste B
Fairbanks, AK 99701-5914
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.