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NPI · 1699647701 · NPPES-sourced

Revive Psychiatry, PLLC

ActivePsychiatric/Mental Health Nurse Practitioner
NPI Number
1699647701
Type 2 · Organisation
Contact
(580) 754-4164
Primary practice line
Last Updated
Enumerated
Primary practice addressOK · 74701-7032
720 Bryan Dr Ste CDurant, OK 74701-7032
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About this NPIWhat this record shows.

NPI 1699647701 is registered to Revive Psychiatry, PLLC, a healthcare organisation classified as "Psychiatric/Mental Health Nurse Practitioner" and located at 720 Bryan Dr Ste C in Durant, Oklahoma. The organisation's authorised official is Jonathan Kaminar. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Revive Psychiatry, PLLC accepts. To confirm in-network status with your specific health plan, contact Revive Psychiatry, PLLC directly at (580) 754-4164.

Frequently asked

Yes. NPI 1699647701 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatric/Mental Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (580) 754-4164.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Revive Psychiatry, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LP0808X
Last updated
Enumerated
StatusActive
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Same specialtyOther Psychiatric/Mental Health Nurse Practitioner providers in Oklahoma.

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