Active NPI
Sheryl Diane Lozicki, RD, MBA
- Registered Dietitian
- Ada, MI
National Provider Identifier
1861355760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 711781
- Practice address
- 575 Honey Creek Ave NE
Ada, MI 49301-9780 - Phone
- (616) 443-1501
- NPI assigned
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 711781 | MI | Primary |
Addresses
Primary practice location
575 Honey Creek Ave NE
Ada, MI 49301-9780
Mailing address
575 Honey Creek Ave NE
Ada, MI 49301-9780
Phone (616) 443-1501
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711781 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1861355760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HONEY CREEK AVE NE",
"city": "ADA",
"state": "MI",
"postal_code": "493019780",
"telephone_number": "616-443-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 HONEY CREEK AVE NE",
"city": "ADA",
"state": "MI",
"postal_code": "493019780",
"telephone_number": "616-443-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZICKI",
"first_name": "SHERYL",
"middle_name": "DIANE",
"credential": "RD, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "711781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.