Active NPI
Kaylan Hebert, RDN
- Registered Dietitian
- Okemos, MI
National Provider Identifier
1447081500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86167273
- Practice address
- 2222 W Grand River Ave Ste a
Okemos, MI 48864-1604 - Phone
- (313) 306-7942
- NPI assigned
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86167273 | MI | Primary |
Addresses
Primary practice location
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Mailing address
2501 Chatham Rd # 8070
Springfield, IL 62704-4188
Phone (313) 306-7942
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PracticalPlateNutritionTherapy | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 86167273 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allara Medical Group PA | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1447081500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CHATHAM RD # 8070",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044188",
"telephone_number": "313-306-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W GRAND RIVER AVE STE A",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641604",
"telephone_number": "313-306-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "KAYLAN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86167273",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PracticalPlateNutritionTherapy",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2222 W Grand River Ave Ste A",
"city": "Okemos",
"state": "MI",
"country_code": "US",
"postal_code": "488641604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.