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MICHIANA NUTRITION AND DIABETES EDUCATION LLC
NPI 1619604410
Clinic/Center - Health Service in South Bend, IN

Active since August 02, 2022
300 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617(574) 301-5205(574) 301-5205 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 25, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Michiana Nutrition And Diabetes Education Llc NPPES

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

MICHIANA NUTRITION AND DIABETES EDUCATION LLC (NPI 1619604410) is a healthcare organization registered as a health service in South Bend, Indiana and active in the NPI registry since August 2022. The organization lists Anouk D Shelton, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1619604410
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMICHIANA NUTRITION AND DIABETES EDUCATION LLC
Location Address300 S SAINT LOUIS BLVDSouth Bend, IN 46617-3043
Mailing Address16151 Petro DrMishawaka, IN 46544-6422 · (815) 342-6205
Phone(574) 301-5205
Fax(574) 301-5205
Organization SubpartNo
Authorized OfficialAnouk D SheltonRegistered Dietitian · (815) 342-6205
Enumeration DateAugust 2, 2022
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1619604410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
300 S SAINT LOUIS BLVD, South Bend, IN 46617
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Other Providers at the Same Location NPPES 5

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

LAURA A HAPP LCSW
Social Worker (Clinical)
300 S SAINT LOUIS BLVD, SUITE 200
SOUTH BEND, IN 46617
St. Joseph County (574) 232-2131
NEW AVENUES INC.
Social Worker (Clinical)
300 S SAINT LOUIS BLVD, STE 200
SOUTH BEND, IN 46617
St. Joseph County (574) 232-2131
MRS. ANOUK DANIELLE SHELTON MBA, RD, LD, CNSC
Dietitian, Registered
300 S SAINT LOUIS BLVD
SOUTH BEND, IN 46617
St. Joseph County (574) 301-5205
MR. ANTHONY J GARASCIA M.S.
Counselor (Mental Health)
300 S SAINT LOUIS BLVD, STE 200
SOUTH BEND, IN 46617
St. Joseph County (574) 335-8250
JESSICA L SMITH LMHCA
Counselor (Mental Health)
300 S SAINT LOUIS BLVD
SOUTH BEND, IN 46617
St. Joseph County (574) 406-1520

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 Michiana Nutrition And Diabetes Education LLC's NPI number?

The NPI number for Michiana Nutrition And Diabetes Education LLC is 1619604410. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Michiana Nutrition And Diabetes Education LLC located?

Michiana Nutrition And Diabetes Education LLC is located at 300 S Saint Louis Blvd, South Bend, IN 46617. The listed phone number is (574) 301-5205.

What is Michiana Nutrition And Diabetes Education 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 Michiana Nutrition And Diabetes Education LLC was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.