NPI 1376004903 · live from the CMS NPI Registry
Jena Bird
Dietitian, Registered in Grand Rapids, MI. National Provider Identifier 1376004903, active.
NPI record
| NPI | 1376004903 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1450 Leonard St Ne, Grand Rapids, MI 49505 |
| Practice phone | 616-301-8000 |
| Enumerated | March 27, 2019 |
| Last updated | May 20, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.