Organization Active NPI

Nutrition for Wellness Inc.

  • Registered Dietitian
  • Midland, MI
National Provider Identifier
1629308465
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION FOR WELLNESS INC.
Practice address
2121 E Stewart Rd
Midland, MI 48640-8926
Phone
(989) 839-0760
Fax
(989) 486-1459
NPI assigned
Dec 29, 2009
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Mrs. Kathleen A White, R.D.NPI 1972830255
Title
Consulting Dietitian
Phone
(989) 839-0760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2121 E Stewart Rd
Midland, MI 48640-8926

Mailing address

2121 E Stewart Rd
Midland, MI 48640-8926
Phone (989) 839-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000591 MI Part B Supplier - Clinic/Group Practice 5496885600 Practice locations: Standish, MI; Frankfort, MI; Essexville, MI; Bay City, MI; Auburn, MI

National Provider Directory

National Provider Directory

Locations

3501 Bangor Rd
Bay City, MI 48706
Phone (989) 684-8019

140 S Almont St
Standish, MI 48658
Phone (989) 846-9648

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1629308465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408926",
            "telephone_number": "989-839-0760",
            "fax_number": "989-486-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408926",
            "telephone_number": "989-839-0760",
            "fax_number": "989-486-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION FOR WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONSULTING DIETITIAN",
        "authorized_official_telephone_number": "989-839-0760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.