Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revivere Nutrition

Organization Registered Dietitian · NPI 1417755398

Revivere Nutrition is a Registered Dietitian in Woodstock, Georgia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

514 Silver Maple Ln
Woodstock, GA 30189-6907
Phone: (978) 304-2794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 N Highland Ave Ne, Atlanta, GA 30307-5609 — (978) 304-2794

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1417755398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caroline Grosch — Registered Dietitian · (978) 304-2794
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address514 Silver Maple Ln, Woodstock, GA 30189-6907

Other providers in Woodstock