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ANDREA ELLENS
NPI 1508592304
Dietitian, Registered in Grand Rapids, MI

Active since July 26, 2022
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Ellens NPPES

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

ANDREA ELLENS (NPI 1508592304) is an individual dietitian, registered in Grand Rapids, Michigan and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1508592304
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA ELLENS
Location Address100 MICHIGAN ST NE # MC845Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 486-6790
Sole ProprietorNo
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1508592304 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.
100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503
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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.

CASSANDRA CUMMINGS DNP
Nurse Practitioner (Pediatrics)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
ALI KAY SHORT LMSW
Social Worker (Clinical)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
NICOLE HOLBROOK
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. ASHLEY DAWN BRUURSEMA NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. BOBBI JO KIEFF RN, BSN, CDCES
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
BREANNA MAE NOFFKE PA
Physician Assistant
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
PAIGE NICOLE PHIZACKLEA RD
Dietitian, Registered
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
AUDRIE CHAPIN LMSW
Social Worker (Clinical)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790

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 Andrea Ellens's NPI number?

The NPI number for Andrea Ellens is 1508592304. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Andrea Ellens located?

Andrea Ellens practices at 100 Michigan St NE # Mc845, Grand Rapids, MI 49503. The listed phone number is (616) 486-6790.

What is Andrea Ellens'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 Andrea Ellens was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.