Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creatively Well LLC

Organization Registered Dietitian · NPI 1942172614

Creatively Well LLC is a Registered Dietitian in Lees Summit, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5508 NW Moonlight Meadow Dr
Lees Summit, MO 64064-1283
Phone: (417) 209-4540
Fax: (800) 861-1359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1942172614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Martin — Owner · (417) 209-4540
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address5508 Nw Moonlight Meadow Dr, Lees Summit, MO 64064-1283

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