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

Revive Wellness LLC

Organization Obesity Medicine (Preventive Medicine) Physician · NPI 1487421673

Revive Wellness LLC is an Obesity Medicine (Preventive Medicine) Physician in Louisville, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8302 Nottingham Pkwy
Louisville, KY 40222-5540
Phone: (502) 468-5003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X

Record details

NPI number1487421673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Chambers — Nurse Practitioner · (941) 626-1031
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address8302 Nottingham Pkwy, Louisville, KY 40222-5540