Mountain Revival Vail, LLC
NPI 1154129815 · Public Health & General Preventive Medicine Physician · Vail, CO
Mountain Revival Vail, LLC is a Public Health & General Preventive Medicine Physician organization in Vail, CO (NPI 1154129815).
Provider details
- NPI number
- 1154129815
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Shifrin, Owner(978) 621-4027
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Mountain Revival Vail, LLC's NPI number?
- Mountain Revival Vail, LLC's National Provider Identifier (NPI) is 1154129815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Revival Vail, LLC?
- Mountain Revival Vail, LLC is classified in the NPPES registry as Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain Revival Vail, LLC located?
- Mountain Revival Vail, LLC's practice location on file with NPPES is 2211 N Frontage Rd W, Vail, CO 81657-3937.
- What is Mountain Revival Vail, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Revival Vail, LLC is (978) 621-4027.
- Who is the authorized official for Mountain Revival Vail, LLC?
- The authorized official listed on Mountain Revival Vail, LLC's NPPES record is Pamela Shifrin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Revival Vail, LLC's NPI active?
- Yes — Mountain Revival Vail, LLC's NPI (1154129815) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.