Life Styles Nutrition Services
NPI 1902009475ActiveOrganization· Dietitian, Registered· Grand Rapids, MI
Dietitian, Registered in Grand Rapids, Michigan, registered in NPPES in June 2007. The authorized official on file is Tracy Marie Booth, R.D.N, Independent Contractor & Proprietor.
Overview
| NPI | 1902009475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2007 |
| Last updated in NPPES | Jun 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 723477 | MI |
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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