Grand Traverse Nutrition, LLC
NPI 1396160388ActiveOrganization· Dietitian, Registered· Traverse City, MI
Dietitian, Registered in Traverse City, Michigan, registered in NPPES in February 2014. The authorized official on file is Miranda Monroe, RDN, Member/Owner.
Overview
| NPI | 1396160388 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2014 |
| Last updated in NPPES | Feb 27, 2014 |
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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