AMY M BRAGAGNINI RD
NPI 1336696459
Dietitian, Registered in Grand Rapids, MI

Active since September 07, 2016
630 KENMOOR AVE SE, SUITE 103, GRAND RAPIDS, MI 49546(616) 600-4950(855) 817-3028 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy M Bragagnini Rd NPPES

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

AMY M BRAGAGNINI RD (NPI 1336696459) is an individual dietitian, registered in Grand Rapids, Michigan, licensed in (886364) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1336696459
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMY M BRAGAGNINICredential: RD
Location Address630 KENMOOR AVE SE, SUITE 103Grand Rapids, MI 49546
Mailing Address630 Kenmoor Ave Se, Suite 103Grand Rapids, MI 49546 · (203) 688-2422
Fax(855) 817-3028
Sole ProprietorNo
Enumeration DateSeptember 7, 2016
Last NPPES UpdateSeptember 20, 2023
NPI 1336696459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed · 886364
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.

Also ListedNutritionistTaxonomy 133N00000X · License 1439 (CT)
630 KENMOOR AVE SE, Grand Rapids, MI 49546

Other Identifiers 1

OtherC02658CT · Ynhh Medicare Number

Other Providers at the Same Location NPPES 9

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

Surgery
630 KENMOOR AVE SE, SUITE 102
GRAND RAPIDS, MI 49546
Physical Therapist
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Physical Therapist
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Occupational Therapist
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Occupational Therapist
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Physical Therapist
630 KENMOOR AVE SE
GRAND RAPIDS, MI 49546
Physician Assistant
630 KENMOOR AVE SE, SUITE 103
GRAND RAPIDS, MI 49546
Physical Therapist
630 KENMOOR AVE SE, SUITE 103
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336696459, enumerated as an "individual" on September 07, 2016.

The provider is located at 630 KENMOOR AVE SE SUITE 103 GRAND RAPIDS, MI 49546 and the phone number is (616) 600-4950.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.