Kidney Care Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KIDNEY CARE NUTRITION LLC

Practice address

11497 Norway Dr
Hartland, MI 48353-3436

Phone

(312) 515-9398

NPI assigned

Oct 5, 2024

Last updated

Oct 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsay Gulley, MS, MPP, RDNNPI 1972351377

Title

Registered Dietitian

Phone

(312) 515-9398

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lindsay Gulley, RDN

  • Registered Dietitian
  • Hartland, MI
  • NPI 1972351377

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1728086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1700605953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 NORWAY DR",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483533436",
            "telephone_number": "312-515-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 NORWAY DR",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483533436",
            "telephone_number": "312-515-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "312-515-9398",
        "authorized_official_credential": "MS, MPP, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Mary-Jean Johnson
• Anna Jones
• Joseph D Cranston DDS PLLC
• Linda Susan Kangas, RN, CDE
• Kenneth F McDaniel DDS PC (Hartland Smilemakers)
• Marriah Kimball
• Melissa Sharon Klimkowski, MA-CCC-SLP
• Arianna Knasiak
• Gabriela Knasiak
• Jill Courtney Knuth, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.