Organization
REVIVE MD
Active
Organization
REVIVE MD
Active
Other names
BlueSky MD
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE BAKER LODGE RN (PRESIDENT)
(615) 690-6600
Entity
Organization
Contact information
Practice address
1804 WILLIAMSON CT, SUITE 107, BRENTWOOD, TN 37027-8170
(615) 690-6600
(615) 690-6604
Mailing address
1804 WILLIAMSON CT, SUITE 107, BRENTWOOD, TN 37027-8170
(615) 690-6600
(615) 690-6604
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
26575
TN
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up