Active NPI
Nancy Ann Lark, MSMS,MMS, RD, FAAMFM
- Metabolic Nutrition Registered Dietitian
- Milford, MI
National Provider Identifier
1992024632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Practice address
- 510 Highland Ave Ste 223
Milford, MI 48381-1516 - Phone
- (248) 872-5574
- NPI assigned
- May 20, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Specialist | 174400000X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
510 Highland Ave Ste 223
Milford, MI 48381-1516
Mailing address
510 Highland Ave Ste 223
Milford, MI 48381-1516
Phone (248) 872-5574
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1992024632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HIGHLAND AVE STE 223",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811516",
"telephone_number": "248-872-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HIGHLAND AVE STE 223",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811516",
"telephone_number": "248-872-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARK",
"first_name": "NANCY",
"middle_name": "ANN",
"credential": "MSMS,MMS, RD, FAAMFM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.