BRENT TANNIN TABATA MS, RD
NPI 1922702638
Dietitian, Registered in Grand Rapids, MI

Q: What is Brent Tabata's NPI number?

The NPI number for Brent Tabata is 1922702638. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Brent Tabata's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brent Tabata was last updated on June 5, 2023. 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.

Active since March 28, 2023

360 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503(616) 486-6870(616) 454-6898 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 5, 2023, Mar 28, 2023 (2 updates tracked since 2023).

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About Brent Tannin Tabata Ms, Rd NPPES

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

BRENT TANNIN TABATA MS, RD (NPI 1922702638) is an individual dietitian, registered in Grand Rapids, Michigan, licensed in Michigan (973751) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1922702638

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameBRENT TANNIN TABATACredential: MS, RD

Location Address360 LAFAYETTE AVE SE STE 400Grand Rapids, MI 49503-4677

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 486-6870

Fax(616) 454-6898

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateJune 5, 20232 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1922702638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MI · 973751

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.

360 LAFAYETTE AVE SE STE 400, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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