Sprout Healthy Habits, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

727212 Issued in MI

Legal business name

SPROUT HEALTHY HABITS, LLC

Practice address

984 Springfield CT
Northville, MI 48167-1030

Phone

(248) 821-9388

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By 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. Nicole Ann Leroy, RDNPI 1265986459

Title

Owner-Operator

Phone

(248) 821-9388

Specialties & licenses 1

Addresses

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.

• Nicole Ann Leroy

  • Registered Dietitian
  • Northville, MI
  • NPI 1265986459

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1235683426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 SPRINGFIELD CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671030",
            "telephone_number": "248-821-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 SPRINGFIELD CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671030",
            "telephone_number": "248-821-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT HEALTHY HABITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER-OPERATOR",
        "authorized_official_telephone_number": "248-821-9388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "727212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Smith
• A Mi Soh, M.D.
• Somebody Who Cares Destiny Empowerment Center
• Caitlyn Brianne Sorensen-Kowalski, PHD, LP, BCBA-LBA
• Shelly Adkins Sprain, N.P.
• Danielle Erin Stahlbaum, M.D.
• Christine Stanik, PHD
• State of Michigan (Southeast Michigan Psychiatric Hospital Child and Adolescent Services)
• State of Michigan Office of Financial Management (State of Michigan)
• Susannah Leigh Steele, PT

• Registered Dietitian in Northville, MI
• Providers in Northville, 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 5, 2016; 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.