Christa Byrd, RD
Individual provider Active NPI Registered Dietitian · Beverly Hills, MI
NPI 1255720165 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1255720165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 957591 (MI)
- Practice address
- 31445 Sunset Dr
Beverly Hills, MI 48025-5108 - Phone
- (248) 592-7525
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957591 | MI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 957591 | MI | Yes |
Addresses
Primary practice location
31445 Sunset Dr
Beverly Hills, MI 48025-5108
Mailing address
31445 Sunset Dr
Beverly Hills, MI 48025-5108
Phone (248) 592-7525
NPI Registry JSON
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1255720165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31445 SUNSET DR",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255108",
"telephone_number": "248-592-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31445 SUNSET DR",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255108",
"telephone_number": "248-592-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "CHRISTA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "957591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, MI
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All providers in Beverly Hills, 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 Jan 15, 2015. 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.