REVIVE NUTRITION LLC
NPI 1093345969
Dietitian, Registered in Jamaica Plain, MA

Active since January 20, 2020
3305 WASHINGTON ST UNIT 401, JAMAICA PLAIN, MA 02130(314) 369-3159 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Jan 21, 2020 (2 updates tracked since 2020).

About Revive Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE NUTRITION LLC (NPI 1093345969) is a healthcare organization registered as a dietitian, registered in Jamaica Plain, Massachusetts and active in the NPI registry since January 2020. The organization lists Kimberly A Sabada, Owner, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1093345969
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameREVIVE NUTRITION LLC
Location Address3305 WASHINGTON ST UNIT 401Jamaica Plain, MA 02130-5322
Mailing Address3305 Washington St Unit 401Jamaica Plain, MA 02130-5322 · (314) 369-3159
Organization SubpartNo
Authorized OfficialKimberly A SabadaOwner, Registered Dietitian · (314) 369-3159
Enumeration DateJanuary 20, 2020
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1093345969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3305 WASHINGTON ST UNIT 401, Jamaica Plain, MA 02130

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
3305 WASHINGTON ST UNIT 401
JAMAICA PLAIN, MA 02130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Nutrition LLC's NPI number?

The NPI number for Revive Nutrition LLC is 1093345969. It was assigned to this organization in the NPPES registry on January 20, 2020.

Where is Revive Nutrition LLC located?

Revive Nutrition LLC is located at 3305 Washington St Unit 401, Jamaica Plain, MA 02130. The listed phone number is (314) 369-3159.

What is Revive Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Revive Nutrition LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Revive Nutrition LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Nutrition LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.