Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mind Body Soul Revival LLC

Q: What type of organization is Mind Body Soul Revival LLC?

Mind Body Soul Revival LLC is registered in NPPES as a Nutritionist (its primary provider taxonomy).

Nutritionist in Lakewood, CO · enumerated 2025 · authorized official Emma O'Connor, Registered Dietitian.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487469961

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Registry record

Entity type Organization (Type 2)

Legal business name Mind Body Soul Revival LLC

Practice address 845 Vance St, Lakewood, CO, 80214

Phone (774) 270-7018

Enumeration date Feb 11, 2025

Last updated in NPPES Feb 11, 2025

Taxonomy & classification

133N00000X Nutritionist Dietary & Nutritional Service Providers Primary

Authorized official

Name Emma O'Connor

Title Registered Dietitian

Phone (774) 270-7018

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mind Body Soul Revival LLC?

Mind Body Soul Revival LLC is registered in NPPES as a Nutritionist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Emma O'Connor Registered Dietitian · Lakewood, CO NPI 1265242754

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-11.