NPIMap

Organization Active NPI

West Michigan MNT,LLC

  • Registered Dietitian
  • Muskegon, MI
National Provider Identifier
1093045858
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WEST MICHIGAN MNT,LLC
Practice address
433 Seminole Rd Ste 204
Muskegon, MI 49444-3743
Phone
(231) 215-5125
Fax
(231) 760-4731
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Leah M Houle, RD
Title
Owner
Phone
(231) 215-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

433 Seminole Rd Ste 204
Muskegon, MI 49444-3743

Mailing address

4933 Stanwood St
Muskegon, MI 49441-5456
Phone (231) 215-5125

National Provider Directory

National Provider Directory

Locations

433 Seminole Rd
Ste 204
Norton Shores, MI 49444
Phone (231) 215-5125

Practitioners & affiliated clinicians

Practitioners 2

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1093045858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 STANWOOD ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494415456",
            "telephone_number": "231-215-5125",
            "fax_number": "231-760-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SEMINOLE RD STE 204",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443743",
            "telephone_number": "231-215-5125",
            "fax_number": "231-760-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN MNT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "HOULE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-215-5125",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.