CORE REVIVE
NPI 1154826980
Registered Nurse - Nutrition Support in Petaluma, CA
NPI Status: Active since March 26, 2018
Contact Information
16 QUEENS LN
PETALUMA, CA
ZIP 94952
Phone: (707) 559-5347
- Organization
- Registered Nurse
- Nutrition Support
About CORE REVIVE
This page provides the complete NPI Profile along with additional information for Core Revive, a provider established in Petaluma, California operating as a Registered Nurse, focusing in nutrition support . The healthcare provider is registered in the NPI registry with number 1154826980 assigned on March 2018. The practitioner's primary taxonomy code is 163WN1003X with license number 846331 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Core Revive. The authorized official of this NPI record is Philip Anthony Diehl Rn (Partner)
- NPI
- 1154826980
- Provider Legal Name
- CORE REVIVE / SOUL REVIVE LLC
- Other Organization Name
- CORE REVIVE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16 QUEENS LN PETALUMA, CA 94952
- Location Phone
- (707) 559-5347
- Mailing Address
- 16 QUEENS LN PETALUMA, CA 94952
- Mailing Phone
- (707) 559-5347
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2018
- Last Update Date
- 06-11-2019
- Code Navigator
A registered nurse (RN) like Core Revive coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Nutrition Support
- Taxonomy Code
- 163WN1003X
- Type
- Nursing Service Providers
- License No.
- 846331
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WD0400X | Nursing Service Providers | Registered Nurse | 846331 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154826980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154826980, enumerated as an "organization" on March 26, 2018.
The provider is located at 16 QUEENS LN PETALUMA, CA 94952 and the phone number is (707) 559-5347.
Registered Nurse with taxonomy code 163WN1003X and a focus in Nutrition Support.
