Active NPI
Jennifer McPherson, RD
- Registered Dietitian
- South Lyon, MI
National Provider Identifier
1285438093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 964274
- Practice address
- 9848 N Dixboro Rd
South Lyon, MI 48178-7011 - Phone
- (734) 320-4636
- NPI assigned
- Apr 2, 2025
- Last updated
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 964274 | MI | Primary |
Addresses
Primary practice location
9848 N Dixboro Rd
South Lyon, MI 48178-7011
Mailing address
9848 N Dixboro Rd
South Lyon, MI 48178-7011
Phone (734) 320-4636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964274 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1285438093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9848 N DIXBORO RD",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481787011",
"telephone_number": "734-320-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9848 N DIXBORO RD",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481787011",
"telephone_number": "734-320-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "JENNIFER",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "964274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.