BRETT IAN PETERSON
NPI 1134610371
Dietitian, Registered in Ishpeming, MI

Q: What is Brett Peterson's NPI number?

The NPI number for Brett Peterson is 1134610371. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Q: What is Brett Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brett Peterson was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 23, 2018

901 LAKESHORE DR, ISHPEMING, MI 49849(906) 485-2623 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brett Ian Peterson NPPES

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

BRETT IAN PETERSON (NPI 1134610371) is an individual dietitian, registered in Ishpeming, Michigan, licensed in Michigan (915544) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1134610371

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameBRETT IAN PETERSON

Location Address901 LAKESHORE DRIshpeming, MI 49849-1367

Mailing Address550 W Hewitt AveMarquette, MI 49855-3323 · (906) 236-5325

Phone(906) 485-2623

Sole ProprietorNo

Enumeration DateMay 23, 2018

✔ NPI 1134610371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MI · 915544

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.

901 LAKESHORE DR, Ishpeming, MI 49849

Open in Google Maps ↗

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.

DR. STEVEN J WALLNER PHARMD

Pharmacist