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PROFESSIONAL DIETITIAN SERVICES, LLC
NPI 1114465044
Clinic/Center - Health Service in Saint Clair Shores, MI

Active since February 12, 2017
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 234-3871(586) 343-8773 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 21, 2017, Feb 27, 2017, Feb 12, 2017 (3 updates tracked since 2017).

About Professional Dietitian Services, Llc NPPES

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

PROFESSIONAL DIETITIAN SERVICES, LLC (NPI 1114465044) is a healthcare organization registered as a health service in Saint Clair Shores, Michigan and active in the NPI registry since February 2017. The organization lists Amanda Alame, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1114465044
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePROFESSIONAL DIETITIAN SERVICES, LLC
Location Address29519 HARPER AVESaint Clair Shores, MI 48081-1275
Mailing Address29519 Harper AveSaint Clair Shores, MI 48081-1275 · (586) 234-3871 · Fax (586) 343-8773
Phone(586) 234-3871
Fax(586) 343-8773
Organization SubpartNo
Authorized OfficialAmanda AlameRegistered Dietitian · (313) 912-4798
Enumeration DateFebruary 12, 2017
Last NPPES UpdateMarch 21, 20173 updates tracked since enumeration
✔ NPI 1114465044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in MI · F0803N
29519 HARPER AVE, Saint Clair Shores, MI 48081
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Other Providers at the Same Location NPPES 4

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

LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 772-8140
PREMIER VASCULAR ASSOCIATES, PLLC
Surgery (Vascular Surgery)
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 270-5100
AMANDA ALAME R.D.
Dietitian, Registered
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 343-8717
ALEXANDRIA CONLEY GLENN M.D.
Surgery
29519 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 343-8717

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 Professional Dietitian Services, LLC's NPI number?

The NPI number for Professional Dietitian Services, LLC is 1114465044. It was assigned to this organization in the NPPES registry on February 12, 2017.

Where is Professional Dietitian Services, LLC located?

Professional Dietitian Services, LLC is located at 29519 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 234-3871.

What is Professional Dietitian Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Professional Dietitian Services, LLC was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.