OrganizationActive
Revivere Nutrition
NPI 1417755398 · Registered Dietitian · Woodstock, GA
Revivere Nutrition is a Registered Dietitian organization in Woodstock, GA (NPI 1417755398).
Provider details
- NPI number
- 1417755398
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Caroline Grosch, Registered Dietitian(978) 304-2794
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
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
2 documented practice locations
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
514 Silver Maple Ln
Woodstock, GA 30189-6907
Phone: (978) 304-2794
Street-level locationGet directions
Mailing address
514 Silver Maple Ln
Woodstock, GA 30189-6907
Additional practice locations (1)
- 240 N Highland Ave NeAtlanta, GA 30307-5609Phone: (978) 304-2794
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Revivere Nutrition's NPI number?
- Revivere Nutrition's National Provider Identifier (NPI) is 1417755398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivere Nutrition?
- Revivere Nutrition is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Revivere Nutrition located?
- Revivere Nutrition's practice location on file with NPPES is 514 Silver Maple Ln, Woodstock, GA 30189-6907.
- What is Revivere Nutrition's phone number?
- The practice phone number listed in the NPPES registry for Revivere Nutrition is (978) 304-2794.
- Who is the authorized official for Revivere Nutrition?
- The authorized official listed on Revivere Nutrition's NPPES record is Caroline Grosch, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivere Nutrition's NPI active?
- Yes — Revivere Nutrition's NPI (1417755398) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.