Gray Space Nutrition LLC
NPI 1134977648ActiveOrganization· Dietitian, Registered· Grand Rapids, MI
Dietitian, Registered in Grand Rapids, Michigan, registered in NPPES in May 2024. The authorized official on file is Cortney Larsen, RDN, Owner, Dietitian.
Overview
| NPI | 1134977648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2024 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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