NPI age
8 years
Enumerated 2017-11-20
● Active Type 2 · Organization
Revivify Biologics
Revivify Biologics is 1 of 5264 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Becker
Nurse Practioner
Last NPPES update
2017-11-20
Source: monthly bulk 2026-05
How this organization compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
8 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4100 Heritage Ave
Grapevine, TX 760515714
Mailing address
62 Main St Ste 110
Colleyville, TX 760342931
Authorized official
Ellen Rose Becker, AGNP
Nurse Practioner
📞 8178864319
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Eniko Barthel, M.D. Internal Medicine NPI 1558365130
- Monalisa Mitra, DO Internal Medicine NPI 1710097456
- Robert Sandmann, M ED., ATC, LAT Specialist/Technologist NPI 1730154923
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Revivify Biologics
Practice context
Multi-provider organization. 3 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.