Revered-Holistic Healthcare LLC
NPI 1700377876 · Family Nurse Practitioner · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revered-Holistic Healthcare LLC is a Family Nurse Practitioner organization in Columbia, MD (NPI 1700377876).
Provider details
- NPI number
- 1700377876
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Adetutu Awodipe, Owner(443) 621-2203
- License
- R194691 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs 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
Other names (DBA / former)
- Doing business as
- Revered Holistic Healthcare LLC
- Doing business as
- Revered Holistic Healthcare LLC
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Revered-Holistic Healthcare LLC's NPI number?
- Revered-Holistic Healthcare LLC's National Provider Identifier (NPI) is 1700377876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revered-Holistic Healthcare LLC?
- Revered-Holistic Healthcare LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revered-Holistic Healthcare LLC located?
- Revered-Holistic Healthcare LLC's practice location on file with NPPES is 9861 Broken Land Pkwy Ste 100, Columbia, MD 21046-3031.
- What is Revered-Holistic Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Revered-Holistic Healthcare LLC is (443) 621-2203.
- Does Revered-Holistic Healthcare LLC accept Medicare?
- Revered-Holistic Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revered-Holistic Healthcare LLC?
- The authorized official listed on Revered-Holistic Healthcare LLC's NPPES record is Adetutu Awodipe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revered-Holistic Healthcare LLC's NPI active?
- Yes — Revered-Holistic Healthcare LLC's NPI (1700377876) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.