Mekenzie Rdn LLC
NPI 1194507020ActiveOrganization· Dietitian, Registered· Boston, MA
Dietitian, Registered in Boston, Massachusetts, registered in NPPES in October 2023. The authorized official on file is Mekenzie Smith Gustafson, RDN, LDN, Owner, Dietitian.
Overview
| NPI | 1194507020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2023 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
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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