Purevital Nutrition LLC
NPI 1285598102ActiveOrganization· Dietitian, Registered· Jacksonville, FL
Dietitian, Registered in Jacksonville, Florida, registered in NPPES in December 2025. The authorized official on file is Mercedes Waugaman, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285598102 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2025 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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