Ez Nutrition 4U, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EZ NUTRITION 4U, LLC

Practice address

11030 Oakmont St Ste 100
Overland Park, KS 66210-1120

Phone

(904) 535-0012

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By 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

Heidi L Broussard, RDN, LDNNPI 1427622406

Title

Ceo, Consultant Dietitian

Phone

(904) 535-0012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Heidi L Broussard, MSH, RD, LD

  • Registered Dietitian
  • Cypress, TX
  • NPI 1427622406

  Dietitian, Registered, KS

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1730047531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 PIN OAK CIR",
            "city": "DE SOTO",
            "state": "KS",
            "postal_code": "660189317",
            "telephone_number": "904-535-0012",
            "fax_number": "832-852-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 OAKMONT ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101120",
            "telephone_number": "904-535-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9875 Pin Oak Cir",
            "address_purpose": "LOCATION",
            "city": "De Soto",
            "state": "KS",
            "postal_code": "660189317",
            "country_code": "US",
            "telephone_number": "904-535-0012",
            "fax_number": "832-852-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EZ NUTRITION 4U, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, CONSULTANT DIETITIAN",
        "authorized_official_telephone_number": "904-535-0012",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Style Optics, LLC
• Thomas P Eyen, MD
• Anne Marie Eylar, O.D.
• Neal Landon Eylar, O.D.
• Susanne Kohn Eyman, PH.D.
• Anuli Eze, PMHNP
• Joshua E Ezell, D.O.
• Tiffany Ezell
• Madison Faddis, DNP, FNP-C
• Thomas Howard Faerber, M.D., D.D.S.

• Registered Dietitian in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.