EZ NUTRITION 4U, LLC
NPI 1730047531
Dietitian, Registered in Overland Park, KS

Active since January 12, 2026
11030 OAKMONT ST STE 100, OVERLAND PARK, KS 66210(904) 535-0012 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ez Nutrition 4u, Llc NPPES

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

EZ NUTRITION 4U, LLC (NPI 1730047531) is a healthcare organization registered as a dietitian, registered in Overland Park, Kansas and active in the NPI registry since January 2026. The organization maintains a secondary practice location in De Soto and lists Heidi L Broussard, Ceo, Consultant Dietitian, as its authorized official.

NPPES Registry Identity

NPI1730047531
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameEZ NUTRITION 4U, LLC
Location Address11030 OAKMONT ST STE 100Overland Park, KS 66210-1120
Mailing Address9875 Pin Oak CirDe Soto, KS 66018-9317 · (904) 535-0012 · Fax (832) 852-5673
Organization SubpartNo
Authorized OfficialHeidi L BroussardCeo, Consultant Dietitian · (904) 535-0012
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1730047531 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.
11030 OAKMONT ST STE 100, Overland Park, KS 66210

Secondary Practice Location 1

Location 19875 Pin Oak CirDe Soto, KS 66018-9317 · Phone (904) 535-0012 · Fax (832) 852-5673

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ez Nutrition 4u, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ez Nutrition 4U, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1427622406
14318 DARBY SPRINGS WAY
Cypress, TX 77429
(904) 535-0012
✔ Accepts Medicare619 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ez Nutrition 4U, LLC's NPI number?

The NPI number for Ez Nutrition 4U, LLC is 1730047531. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Ez Nutrition 4U, LLC located?

Ez Nutrition 4U, LLC is located at 11030 Oakmont St Ste 100, Overland Park, KS 66210. The listed phone number is (904) 535-0012.

What is Ez Nutrition 4U, LLC's specialty?

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

Is Ez Nutrition 4U, LLC enrolled in Medicare?

Yes. Ez Nutrition 4U, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ez Nutrition 4U, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Ez Nutrition 4U, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ez Nutrition 4U, LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.