Laura Nicole Zillen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

298 Oregon St
Ypsilanti, MI 48198-6034

Phone

(505) 317-7580

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1528746633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 ROCKAWAY LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244698",
            "telephone_number": "480-580-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 OREGON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986034",
            "telephone_number": "505-317-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4524 Rockaway Loop NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244698",
            "country_code": "US",
            "telephone_number": "505-317-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILLEN",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Scott Zickafoose, MD
• Courtney Lynn Ziemba, ATC, LAT
• Ashley Elizabeth Ziettlow, PA-C
• Naomi Zikmund-Fisher, LMSW
• Katherine Marie Zilincik, MS, RD
• Kyle Jonathan Zillich
• Stephanie Marissa Zillich, CRNA
• Christine Elizabeth Zimmermann, PT, DPT
• Brittany Zimnickas
• Monika Ziogaite

• Registered Dietitian in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.