Mind Body Soul Revival LLC
NPI 1487469961ActiveOrganization· Nutritionist· Lakewood, CO
Nutritionist in Lakewood, Colorado, registered in NPPES in February 2025. The authorized official on file is Emma O'Connor, MS, RD, CEDS, Registered Dietitian.
Overview
| NPI | 1487469961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2025 |
| Last updated in NPPES | Feb 11, 2025 |
| Certified by provider | Feb 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
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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