Purevital Nutrition LLC
NPI 1285598102 · Registered Dietitian · Jacksonville, FL
Purevital Nutrition LLC is a Registered Dietitian organization in Jacksonville, FL (NPI 1285598102).
Provider details
- NPI number
- 1285598102
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Mercedes Waugaman, Owner(904) 763-9722
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-12-15
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Purevital Nutrition LLC's NPI number?
- Purevital Nutrition LLC's National Provider Identifier (NPI) is 1285598102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purevital Nutrition LLC?
- Purevital Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Purevital Nutrition LLC located?
- Purevital Nutrition LLC's practice location on file with NPPES is 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846.
- What is Purevital Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Purevital Nutrition LLC is (904) 763-9722.
- Who is the authorized official for Purevital Nutrition LLC?
- The authorized official listed on Purevital Nutrition LLC's NPPES record is Mercedes Waugaman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purevital Nutrition LLC's NPI active?
- Yes — Purevital Nutrition LLC's NPI (1285598102) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.