Revivere Nutrition
NPI 1417755398ActiveOrganization· Dietitian, Registered· Woodstock, GA
Dietitian, Registered in Woodstock, Georgia, registered in NPPES in March 2025. The authorized official on file is Caroline Grosch, RD, LD, CNSC, Registered Dietitian.
Overview
| NPI | 1417755398 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2025 |
| Last updated in NPPES | Mar 5, 2025 |
| Certified by provider | Mar 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 17 registered dietitians in Woodstock · All registered dietitians in Georgia