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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1043655780


NPI Information

NPI: 1043655780
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 23D1069487

Address:
4069 LAKE DR SE
STE. 315
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-8950
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a dietitian registered in Grand Rapids, MI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1043655780. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Health Medical Group.

The provider's business location address is:

4069 LAKE DR SE
STE. 315
GRAND RAPIDS, MI
ZIP 49546-816
Phone: (616) 267-8950

The provider's authorized official is Ryan M Catignani .
The authorized official title is Vp Finance and has the following contact phone number (947) 522-0008.

The CLIA number assigned to this NPI record is 23D1069487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133NN1002XNutritionistNutrition, EducationNo
2133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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