REVIVE NUTRITION LLC (NPI# 1093345969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093345969 |
| Entity Type | Organization |
| Organization Name | REVIVE NUTRITION LLC |
| Practice Address |
1330 Beacon St Ste 342 Brookline MA 02446-3203 |
| Mailing Address |
1217 Beacon St Apt 2 Brookline MA 02446-5398 |
| Practice Telephone | 3143693159 |
| Mailing Telephone | 3143693159 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | KIMBERLY A SABADA (OWNER, REGISTERED DIETITIAN) |
| Authorized Official Telephone | 3143693159 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Revive Nutrition LLC | 818 E San Miguel St, Colorado Springs, CO 80903 |
| New York State Corporations | REVIVE NUTRITION LLC | 249 North St Apt 5, Buffalo, Ny 14201 |
| Street Address |
1330 BEACON ST STE 342 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061844 | Dana Jennifer Fryer | Dietitian, Registered | 258 Harvard St # 342, Brookline, MA 02446-2904 | 2020-10-19 |
| 1770049413 | Lindsay Margolis | Dietitian, Registered | 49 Marion St Apt 4a, Brookline, MA 02446-4456 | 2019-02-19 |
| 1639649957 | Mary J Plesac | Dietitian, Registered | 26 Laurel Crest Drive, Brookline, NH 03033 | 2018-11-29 |
| 1215423553 | Mindy Campbell | Dietitian, Registered | 28 Atherton Rd, Brookline, MA 02446-2769 | 2018-07-10 |
| 1487195426 | Rebecca Gabrielle Noren | Dietitian, Registered | 98 Toxteth St Apt 3, Brookline, MA 02446-6933 | 2017-03-09 |
| 1043752470 | Lena Rakijian | Dietitian, Registered | 83 Harvard St Apt 21, Brookline, MA 02445-7914 | 2016-11-16 |
| 1770857377 | Karlyn Grimes | Dietitian, Registered | 58 Brook St, Brookline, MA 02445-6914 | 2012-02-28 |
| 1609106434 | Janel Ovrut | Dietitian, Registered | 94 Longwood Ave, Apt A, Brookline, MA 02446-6603 | 2009-12-29 |
| 1134287105 | Judith Ann Mabel | Dietitian, Registered | 50 Naples Rd, Brookline, MA 02446-5751 | 2006-12-04 |
| 1124196571 | Ellen T. Lowre | Dietitian, Registered | 62 Harvard St, Brookline, MA 02445-7993 | 2006-12-02 |
| Find all providers in BROOKLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.