Core Revive / Soul Revive LLC
Core Revive / Soul Revive LLC holds NPI 1154826980, with a primary taxonomy of nutrition support registered nurse and a practice location in Petaluma, CA. The number was issued on March 26, 2018 and the NPPES record was last updated on June 11, 2019. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2019. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Support Registered Nurse Primary | 163WN1003X | 846331 (CA) |
| Diabetes Educator Registered Nurse | 163WD0400X | 846331 (CA) |
Practice location
Local context
Active NPPES records list 2 providers with nutrition support registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.
The same primary taxonomy is listed by 18 in California and 125 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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curl -H "Authorization: Bearer YOUR_API_KEY" \ "https://api.npilayer.com/v1/providers/1154826980"