Kyle Hazen
NPI 1609324730ActiveIndividual· Nutritionist· Gainesville, FL
Nutritionist in Gainesville, Florida, licensed in FL, with an NPI issued in September 2016. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1609324730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2016 |
| Last updated in NPPES | Sep 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | ND 7094 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (FL) |
|---|
Other Nutritionist providers in Gainesville
- 1245529239
- 1508607508
- 1235838442