Individual provider Active NPI

Elizabeth Yvette Keaton

  • Registered Dietitian
  • Flint, MI
National Provider Identifier
1902656317
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
G3169 Beecher Rd
Flint, MI 48532-3611
Phone
(616) 726-1909
NPI assigned
Mar 26, 2024
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

G3169 Beecher Rd
Flint, MI 48532-3611

Mailing address

G3169 Beecher Rd
Flint, MI 48532-3611

Other practice location 1

1110 Eldon Baker Dr
Flint, MI 48507-1923
Phone (616) 301-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507004398 MI Practitioner - Registered Dietitian Or Nutrition Professional 7214378371 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Living, Inc. Current Accepting new patients
Alternative Community Living, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Alternative Community Living, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1110 Eldon Baker Dr
Flint, MI 48507
Phone (810) 213-1803

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1902656317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "616-726-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Eldon Baker Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485071923",
            "country_code": "US",
            "telephone_number": "616-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "ELIZABETH",
        "middle_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.