NPI age
— years
Enumerated 2025-09-15
● Active Type 2 · Organization
Revitalize Health
Revitalize Health is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
King
Ceo
Last NPPES update
2025-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-09Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
913 W Canfield Ave
Coeur D Alene, ID 838159764
Mailing address
913 W Canfield Ave
Coeur D Alene, ID 838159764
Authorized official
Heather King, NP
Ceo
📞 2087638920
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Desiree Hart, NP-BC Nurse Practitioner NPI 1336888478
- Heather King, NP-C Nurse Practitioner NPI 1164895371
- Kimberly McDermott, FNP-BC Nurse Practitioner NPI 1740680131
- Holly Murray, FNP Nurse Practitioner NPI 1831677681
- Jana Qualls, FNP Nurse Practitioner NPI 1083670889
- Lesley Roberts, PA-C Physician Assistant NPI 1568695062
- Michael Whiting, M.D. Family Medicine NPI 1598796708
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.