Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Hydration PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1831003250

Revive Hydration PLLC provides Psychiatric/Mental Health Nurse Practitioner services in Red Bud, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 S Main St
Red Bud, IL 62278-1212
Phone: (618) 408-1248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1831003250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Knott — Owner / Member · (618) 615-8898
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026
Mailing address4740 Kane Hill Rd, Ellis Grove, IL 62241-1728

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