Active NPI
Kendra Seagraves, RD
- Registered Dietitian
- Jackson, MI
National Provider Identifier
1952808172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86080791
- Practice address
- 209 E Washington Ave Ste 430-18
Jackson, MI 49201-2393 - Phone
- (517) 740-4766
- Fax
- (517) 247-3309
- NPI assigned
- Apr 13, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86080791 | MI | Primary |
Addresses
Primary practice location
209 E Washington Ave Ste 430-18
Jackson, MI 49201-2393
Mailing address
209 E Washington Ave Ste 430-18
Jackson, MI 49201-2393
Phone (517) 740-4766
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendra Seagraves Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Jackson, MI
- NPI 1871483586
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1952808172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E WASHINGTON AVE STE 430-18",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012393",
"telephone_number": "517-740-4766",
"fax_number": "517-247-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E WASHINGTON AVE STE 430-18",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012393",
"telephone_number": "517-740-4766",
"fax_number": "517-247-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGRAVES",
"first_name": "KENDRA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86080791",
"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 May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.