OrganizationActive
Mind Body Soul Revival LLC
NPI 1487469961 · Nutritionist · Lakewood, CO
Mind Body Soul Revival LLC is a Nutritionist organization in Lakewood, CO (NPI 1487469961).
Provider details
- NPI number
- 1487469961
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Emma O'Connor, Registered Dietitian(774) 270-7018
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 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
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
845 Vance St
Lakewood, CO 80214-4828
Phone: (774) 270-7018
Street-level locationGet directions
Mailing address
845 Vance St
Lakewood, CO 80214-4828
Registry dates
- Enumerated
- 2025-02-11
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Frequently asked questions
- What is Mind Body Soul Revival LLC's NPI number?
- Mind Body Soul Revival LLC's National Provider Identifier (NPI) is 1487469961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Body Soul Revival LLC?
- Mind Body Soul Revival LLC is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is Mind Body Soul Revival LLC located?
- Mind Body Soul Revival LLC's practice location on file with NPPES is 845 Vance St, Lakewood, CO 80214-4828.
- What is Mind Body Soul Revival LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Body Soul Revival LLC is (774) 270-7018.
- Who is the authorized official for Mind Body Soul Revival LLC?
- The authorized official listed on Mind Body Soul Revival LLC's NPPES record is Emma O'Connor, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Body Soul Revival LLC's NPI active?
- Yes — Mind Body Soul Revival LLC's NPI (1487469961) is active in the NPPES registry as of the last update on 2025-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.