Kyla Scheese, RDN, LD, CEDS, CPT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86084767 Issued in MI

Practice address

4758 Broomfield Way
Lake Orion, MI 48359-1956

Phone

(248) 766-9627

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kyla Nutrition & Wellness

  • Health Service Clinic/Center
  • Lake Orion, MI
  • NPI 1942765417
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1376014324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 BROOMFIELD WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591956",
            "telephone_number": "248-766-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 BROOMFIELD WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591956",
            "telephone_number": "248-766-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622737",
            "country_code": "US",
            "telephone_number": "248-766-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEESE",
        "first_name": "KYLA",
        "credential": "RDN, LD, CEDS, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86084767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.keepyourlifealive.com/",
            "affiliation": "N",
            "address_1": "4758 Broomfield Way",
            "city": "Lake Orion",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483591956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Lynn Santus, LMSW
• Carl C Sarnacki, MD
• Nicole Lynn Savoie-Peel, NP
• Faryn Scarlett
• Maria Schaefer, DPT
• Lynnette Schneidewind
• Lauren Noel Schuit
• Denise Louise Seidl, OTR CHT
• Rita Mary Senawe, RPH
• Lucas Arthur Sereno

• Registered Dietitian in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.