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

Matthew Lewis

Individual provider Registered Dietitian · NPI 1457722563

Matthew Lewis is a Registered Dietitian OR Nutrition Professional in Provo, Utah. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2015
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Practice location Address checks out

395 W Cougar Blvd Ste 401
Provo, UT 84604-3338
Phone: (801) 357-7546
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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 8691966-4901 (UT)

Record details

NPI number1457722563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Provo