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LISA EYRES
NPI 1821945064
Nutritionist in Grand Rapids, MI

Active since March 16, 2026
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Eyres NPPES

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

LISA EYRES (NPI 1821945064) is an individual nutritionist in Grand Rapids, Michigan, licensed in Michigan (809211) and active in the NPI registry since March 2026. She maintains a secondary practice location in Royal Oak and is a graduate of Other (1990).

NPPES Registry Identity

NPI1821945064
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameLISA EYRES
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
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 16, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1821945064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MI · 809211
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503
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Secondary Practice Location 1

Location 13577 W 13 Mile Rd Ste 206Royal Oak, MI 48073-6710 · Phone (248) 964-9200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Eyres is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880161199
PECOS Enrollment IDI20260423002429

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 Lisa Eyres's NPI number?

The NPI number for Lisa Eyres is 1821945064. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Lisa Eyres located?

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

What is Lisa Eyres's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Lisa Eyres enrolled in Medicare?

Yes. Lisa Eyres is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Eyres was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.