Nourished Living LLC
NPI 1942817580ActiveOrganization· Dietitian, Registered· Saint Clair Shores, MI
Dietitian, Registered in Saint Clair Shores, Michigan, registered in NPPES in September 2020. The authorized official on file is Bethany A. Matus, RD, Authorized Official/Owner.
Overview
| NPI | 1942817580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2020 |
| Last updated in NPPES | Nov 13, 2020 |
| Certified by provider | Nov 13, 2020 |
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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