NICOLE DENICE BRODERSON MS, RD
NPI 1073388559
Dietitian, Registered in Grand Rapids, MI

Active since November 15, 2023
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503(616) 267-8950 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Denice Broderson Ms, Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DENICE BRODERSON MS, RD (NPI 1073388559) is an individual dietitian, registered in Grand Rapids, Michigan and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1073388559
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE DENICE BRODERSONCredential: MS, RD
Location Address221 MICHIGAN ST NE STE 200Grand Rapids, MI 49503-2533
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateNovember 15, 2023
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1073388559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
221 MICHIGAN ST NE STE 200, Grand Rapids, MI 49503

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Dietitian, Registered
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Dietitian, Registered
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Dietitian, Registered
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Dietitian, Registered
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503
Internal Medicine (Endocrinology, Diabetes & Metabolism)
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Broderson's NPI number?

The NPI number for Nicole Broderson is 1073388559. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Nicole Broderson located?

Nicole Broderson practices at 221 Michigan St NE Ste 200, Grand Rapids, MI 49503. The listed phone number is (616) 267-8950.

What is Nicole Broderson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Nicole Broderson accept?

Health plans from Priority Health list Nicole Broderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Broderson was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.