Revive Salon and Spa
NPI 1619415072 · Family Nurse Practitioner · San Diego, CA
Revive Salon and Spa is a Family Nurse Practitioner organization in San Diego, CA (NPI 1619415072).
Provider details
- NPI number
- 1619415072
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mary Lynn Eichert, Nurse Practitioner(704) 516-6782
- License
- 95005931 (CA)
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
9 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
- 2017-02-06
- Last updated
- 2017-02-06
Frequently asked questions
- What is Revive Salon and Spa's NPI number?
- Revive Salon and Spa's National Provider Identifier (NPI) is 1619415072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Salon and Spa?
- Revive Salon and Spa is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revive Salon and Spa located?
- Revive Salon and Spa's practice location on file with NPPES is 5965 Village Way, San Diego, CA 92130-2475.
- What is Revive Salon and Spa's phone number?
- The practice phone number listed in the NPPES registry for Revive Salon and Spa is (619) 293-7233.
- Who is the authorized official for Revive Salon and Spa?
- The authorized official listed on Revive Salon and Spa's NPPES record is Mary Lynn Eichert, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Salon and Spa's NPI active?
- Yes — Revive Salon and Spa's NPI (1619415072) is active in the NPPES registry as of the last update on 2017-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.