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

Organization Registered Dietitian · NPI 1629486964

Live Well Nutrition, Inc is a Registered Dietitian in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

229 E Omer Ave
Mishawaka, IN 46545-6345
Phone: (574) 217-8372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37001744A (IN)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 37001744A (IN)

Record details

NPI number1629486964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikole Barrett — President · (574) 217-8372
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014
Mailing address229 E Omer Ave, Mishawaka, IN 46545-6345

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