Active NPI
Jennifer L Morrison, R.D.
- Metabolic Nutrition Registered Dietitian
- Sterling Heights, MI
National Provider Identifier
1831429141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 962273
- Practice address
- 38731 Mound Rd Ste 200
Sterling Heights, MI 48310-3210 - Phone
- (586) 939-8480
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 962273 | MI | Primary |
Addresses
Primary practice location
38731 Mound Rd Ste 200
Sterling Heights, MI 48310-3210
Mailing address
38731 Mound Rd Ste 200
Sterling Heights, MI 48310-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382164712 | Other | MI | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962273 | MI | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1831429141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38731 MOUND RD STE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38731 MOUND RD STE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483103210",
"telephone_number": "586-939-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MI",
"license": "962273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "382164712",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.