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

Mrs. Lori Lynn Vanderweele, RD, CSP

Individual provider Registered Dietitian · NPI 1154608578

Mrs. Lori Lynn Vanderweele, RD, CSP is a Registered Dietitian OR Nutrition Professional in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Indiana, Michigan and Ohio.

Years since qualifying
24
Licensed in
IN, MI, OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

435 Ionia Ave SW Ste A210
Grand Rapids, MI 49503-5161
Phone: (616) 486-0385
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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 912475 (MI)
Registered Dietitian Taxonomy 133V00000X · Licence 912475 (OH)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 912475 (IN)

Record details

NPI number1154608578
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSP
Sole proprietorNo
NPI enumeratedNovember 14, 2011
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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