NPIMap

Organization Active NPI

Peaceful & Powerful Nutrition, LLC

  • Registered Dietitian
  • Livonia, MI
National Provider Identifier
1013508886
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PEACEFUL & POWERFUL NUTRITION, LLC
Practice address
17418 Country Club Dr
Livonia, MI 48152-4802
Phone
(734) 419-3549
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bonnie Green, RDN, RYT-200NPI 1225652076
Title
Founder, Lead Dietitian
Phone
(734) 419-3549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

17418 Country Club Dr
Livonia, MI 48152-4802

Mailing address

17418 Country Club Dr
Livonia, MI 48152-4802
Phone (734) 419-3549

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1013508886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17418 COUNTRY CLUB DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524802",
            "telephone_number": "734-419-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17418 COUNTRY CLUB DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524802",
            "telephone_number": "734-419-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL & POWERFUL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "FOUNDER, LEAD DIETITIAN",
        "authorized_official_telephone_number": "734-419-3549",
        "authorized_official_credential": "RDN, RYT-200"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.