Organization Active NPI

Renu Nutrition Consultants LLC

  • Registered Dietitian
  • Grand Blanc, MI
National Provider Identifier
1629318696
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
888931 Issued in MI
Legal business name
RENU NUTRITION CONSULTANTS LLC
Practice address
12745 S. Saginaw Rd.
Suite 806-177
Grand Blanc, MI 48439-2437
Phone
(810) 923-5600
Fax
(810) 396-6882
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mrs. Melissa Dawn Pieper, MBA, RD, CSRNPI 1467634014
Title
President
Phone
(810) 923-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 888931 MI Primary
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X 888931 MI

Addresses

Primary practice location

12745 S. Saginaw Rd.
Suite 806-177
Grand Blanc, MI 48439-2437

Mailing address

12745 S. Saginaw Rd.
Suite 806-177
Grand Blanc, MI 48439-2437
Phone (810) 923-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131030001493 MI Part B Supplier - Clinic/Group Practice 9436384302 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Blanc, MI

National Provider Directory

National Provider Directory

Locations

12745 S Saginaw St
Ste 806177
Grand Blanc, MI 48439
Phone (810) 354-5222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1629318696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 S. SAGINAW RD.",
            "address_2": "SUITE 806-177",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392437",
            "telephone_number": "810-923-5600",
            "fax_number": "810-396-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12745 S. SAGINAW RD.",
            "address_2": "SUITE 806-177",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392437",
            "telephone_number": "810-923-5600",
            "fax_number": "810-396-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU NUTRITION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "PIEPER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-923-5600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, RD, CSR"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "888931",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MI",
            "license": "888931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.