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GRAND TRAVERSE NUTRITION, LLC
NPI 1396160388
Dietitian, Registered in Traverse City, MI

Active since February 27, 2014
800 COTTAGEVIEW DR, SUITE 1076, TRAVERSE CITY, MI 49684(231) 632-1522 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Traverse Nutrition, Llc NPPES

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

GRAND TRAVERSE NUTRITION, LLC (NPI 1396160388) is a healthcare organization registered as a dietitian, registered in Traverse City, Michigan and active in the NPI registry since February 2014. The organization lists Miranda Monroe, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1396160388
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameGRAND TRAVERSE NUTRITION, LLC
Location Address800 COTTAGEVIEW DR, SUITE 1076Traverse City, MI 49684-2616
Mailing AddressPo Box 6263Traverse City, MI 49696-6263 · (231) 632-1522
Phone(231) 632-1522
Organization SubpartNo
Authorized OfficialMiranda MonroeMember/owner · (231) 632-1522
Enumeration DateFebruary 27, 2014
✔ NPI 1396160388 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.
800 COTTAGEVIEW DR, Traverse City, MI 49684
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Other Identifiers 1

Other851200MI · Rdn - Commission Dietetic Registration

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DANIEL HERD MSW, LMSW
Social Worker (Clinical)
800 COTTAGEVIEW DR, SUITE 1074
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 492-0808
SENTIENCE INTEGRATED WELLNESS PLLC
Social Worker (Clinical)
800 COTTAGEVIEW DR, SUITE 1074
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 492-0808

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 Grand Traverse Nutrition, LLC's NPI number?

The NPI number for Grand Traverse Nutrition, LLC is 1396160388. It was assigned to this organization in the NPPES registry on February 27, 2014.

Where is Grand Traverse Nutrition, LLC located?

Grand Traverse Nutrition, LLC is located at 800 Cottageview Dr Suite 1076, Traverse City, MI 49684. The listed phone number is (231) 632-1522.

What is Grand Traverse Nutrition, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grand Traverse Nutrition, LLC was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.