NPIMap

Organization Active NPI

Kendra Seagraves Nutrition, LLC

  • Registered Dietitian
  • Jackson, MI
National Provider Identifier
1871483586
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KENDRA SEAGRAVES NUTRITION, LLC
Practice address
4875 Firethorne Dr
Jackson, MI 49201-9002
Phone
(517) 740-4766
NPI assigned
Jul 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Authorized official

Name
Kendra Seagraves, RDNPI 1952808172
Title
Owner
Phone
(517) 740-4766

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4875 Firethorne Dr
Jackson, MI 49201-9002

Mailing address

4875 Firethorne Dr
Jackson, MI 49201-9002
Phone (517) 740-4766

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1871483586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 FIRETHORNE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019002",
            "telephone_number": "517-740-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 FIRETHORNE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019002",
            "telephone_number": "517-740-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA SEAGRAVES NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "SEAGRAVES",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-740-4766",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.

Verify at the official NPI Registry.