Revive Nutrition LLC
Dietitian, Registered in Jamaica Plain, Massachusetts
1093345969- Practice location
- 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322
- Phone
- 314-369-3159
- Fax
- —
- Last updated
- July 10, 2024
Revive Nutrition LLC is a healthcare organization based in Jamaica Plain, MA. Revive Nutrition LLC practices in Jamaica Plain, MA. The NPI Number for Revive Nutrition LLC is 1093345969. The current practice location address for Revive Nutrition LLC is 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322 and can be reached out via phone at 314-369-3159.
Provider Profile Details
- NPI Number
- 1093345969
- Provider Name
- Revive Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322
- Phone Number
- 314-369-3159
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Kimberly A Sabada, RD · Owner, Registered Dietitian · 314-369-3159
- Provider Enumeration Date
- January 20, 2020
- Last Update Date
- July 10, 2024
- Certification Date
- July 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3305 Washington St Unit 401
Jamaica Plain, MA 02130-5322 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-5322
- Phone Number
- 314-369-3159
Provider Business Mailing Address Details
- Address
- 3305 Washington St Unit 401
Jamaica Plain, MA 02130-5322 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-5322
- Phone Number
- 314-369-3159
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Jamaica Plain, MA
View all Dietitian, Registered providers in Jamaica Plain →- Gabriella Hernandez, MPH, RD, LDNDietitian, Registered · NPI 1386415800
- Kristine Berube WellnessDietitian, Registered · NPI 1730980483
- Lauren L Berard, RD, LDNDietitian, Registered · NPI 1235472838
- Margaret A Drazba, RDDietitian, Registered · NPI 1497483986
- Maria Dievler, RDDietitian, Registered · NPI 1679782155
- Mindy Vanberkel, RD, LDN, CNSC, MSDietitian, Registered · NPI 1215423553
Frequently Asked Questions
What is the NPI number of Revive Nutrition LLC?
The NPI number of Revive Nutrition LLC is 1093345969. It was assigned on January 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Revive Nutrition LLC?
Revive Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Revive Nutrition LLC practice?
The practice location is 3305 Washington St Unit 401, Jamaica Plain, MA 02130-5322. The office can be reached at 314-369-3159 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093345969 directly on the NPPES registry website.