Tri-City Nutritional Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TRI-CITY NUTRITIONAL SERVICES LLC

Practice address

23 W Sharlear Dr
Essexville, MI 48732-1264

Phone

(989) 225-3722

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Kelly DukarskiNPI 1528586781

Title

Owner

Phone

(989) 225-3722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly J Dukarski, RDCSR

  • Nutritionist
  • Bay City, MI
  • NPI 1528586781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1265943245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W SHARLEAR DR",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W SHARLEAR DR",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321264",
            "telephone_number": "989-225-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY NUTRITIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "DUKARSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-225-3722"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Suminski
• Ashlynn Johanna-Faith Szostek
• Rachel Layne Tabb, MD
• Alina Marie Thomas
• Richard Anthony Thomson, MSW, LMSW, ACSW
• Jacob Trombley, DO
• True North Integrative Counseling, LLC
• April Elizabeth Vanochten, LPTA
• Alyssa Shannon Vermeesch
• Visiting Nurse Services of Michigan

• Registered Dietitian in Essexville, MI
• Providers in Essexville, 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 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.