Active NPI
Audrey Renee Byker, NANP
- Nutritionist
- Holland, MI
National Provider Identifier
1376312801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 4690
- Practice address
- 348 S Waverly Rd Ste 103
Holland, MI 49423-8101 - Phone
- (616) 929-9020
- NPI assigned
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 4690 | MI | Primary |
Addresses
Primary practice location
348 S Waverly Rd Ste 103
Holland, MI 49423-8101
Mailing address
1529 Shenandoah Dr
Zeeland, MI 49464-8358
Phone (616) 566-1086
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 |
|---|---|---|---|
| 4690 | MI | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1376312801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 SHENANDOAH DR",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494648358",
"telephone_number": "616-566-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 S WAVERLY RD STE 103",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494238101",
"telephone_number": "616-929-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYKER",
"first_name": "AUDREY",
"middle_name": "RENEE",
"credential": "NANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MI",
"license": "4690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.