Halee Elizabeth Cusack
Individual provider Active NPI Registered Dietitian · Caledonia, MI
NPI 1215701008 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1215701008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 5924 Crossmoor St
Caledonia, MI 49316-8555 - Phone
- (616) 648-3959
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
5924 Crossmoor St
Caledonia, MI 49316-8555
Mailing address
8237 Woodstone Dr SE
Byron Center, MI 49315-8480
Phone (616) 648-3959
Other names
- Halee Elizabeth Brennan
Other providers in Caledonia, MI
- Clear Visions Counseling
- Emily Cline
- Krystal M Cole
- Shawn Michael Collins
- Rhana Emad Correll
- Daniel & Max, LLC
- Elissa Jo Davenport
- Luke Delong
- Paula Delorm
- Carlie Demeester
All providers in Caledonia, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.