NPIMap

Organization Active NPI

Kyla Nutrition & Wellness

  • Health Service Clinic/Center
  • Lake Orion, MI
National Provider Identifier
1942765417
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KYLA NUTRITION & WELLNESS
Practice address
4758 Broomfield Way
Lake Orion, MI 48359-1956
Phone
(248) 766-9627
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Kyla Scheese, RDN, LD, CEDS, CPTNPI 1376014324
Title
Owner/Provider
Phone
(248) 766-9627

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4758 Broomfield Way
Lake Orion, MI 48359-1956

Mailing address

4758 Broomfield Way
Lake Orion, MI 48359-1956
Phone (248) 766-9627

Other practice location 1

210 S Broadway St
Lake Orion, MI 48362-2737
Phone (248) 766-9627

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.keepyourlifealive.com/

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.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1942765417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 BROOMFIELD WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591956",
            "telephone_number": "248-766-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 BROOMFIELD WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591956",
            "telephone_number": "248-766-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483622737",
            "country_code": "US",
            "telephone_number": "248-766-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLA NUTRITION & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "SCHEESE",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "248-766-9627",
        "authorized_official_credential": "RDN, LD, CEDS, CPT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.keepyourlifealive.com/",
            "affiliation": "N",
            "address_1": "4758 Broomfield Way",
            "city": "Lake Orion",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483591956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.