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About this NPIWhat this record shows.
NPI 1154826980 is registered to Core Revive / Soul Revive LLC, a healthcare organisation classified as "Nutrition Support Registered Nurse" and located at 16 Queens Ln in Petaluma, California. The organisation's authorised official is Philip Diehl. The organisation has been enumerated in the NPI registry since 2018.
Provider type
Organisation (Type 2)
Status
Active
Enumerated
2018-03-26
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The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Core Revive / Soul Revive LLC accepts. To confirm in-network status with your specific health plan, contact Core Revive / Soul Revive LLC directly at (707) 559-5347.
Frequently asked
Yes. NPI 1154826980 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Nutrition Support Registered Nurse is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 559-5347.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Core Revive / Soul Revive LLC is a Type-2 organisational NPI.
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