Nutrition Sense 4 Life

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1000109 Issued in MI

Legal business name

NUTRITION SENSE 4 LIFE

Practice address

12836 Cutler Cove St
Wayland, MI 49348-8862

Phone

(269) 680-7041

NPI assigned

Aug 12, 2010

Last updated

Aug 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Nelson, R.D.NPI 1114630571

Title

Registered Dietitian

Phone

(269) 680-7041

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Nelson, REGISTERED DIETITIAN

  • Registered Dietitian
  • Pittsburgh, PA
  • NPI 1114630571
  Authorized official Same address or phone

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1174838304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 CUTLER COVE ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493488862",
            "telephone_number": "269-680-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 CUTLER COVE ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493488862",
            "telephone_number": "269-680-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SENSE 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "269-680-7041",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1000109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174838304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer McLellen, COTA/L
• Jeanne Marie Meyers, LLMSW
• Chantel Marie Money, PTA
• Kelsey Munch
• Molly Jeanne Myers, MS,OTRL
• Sandra Trinh Patrick, OTD
• Peak Play Speech Therapy, PLLC
• Pennock Hospital
• Pennock Hospital (Corewell Health Pennock Hospital Family Medicine - Gun Lake)
• Pennock Pharmacy (Pennock Pharmacy - Gun Lake)

• Registered Dietitian in Wayland, MI
• Providers in Wayland, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.