Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Medicine LLC

Organization Obesity Medicine (Family Medicine) Physician · NPI 1013618255

Revive Medicine LLC is an Obesity Medicine (Family Medicine) Physician in Fairfax, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3998 Fair Ridge Dr Ste 270
Fairfax, VA 22033-2907
Phone: (571) 544-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X

Record details

NPI number1013618255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Selim — Principal · (951) 741-7258
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address5423 Marlstone Ln, Fairfax, VA 22030-5834

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