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

Stacey Niesen

Individual provider Registered Dietitian · NPI 1922483809

Stacey Niesen is a Registered Dietitian in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

2215 44th St SE
Grand Rapids, MI 49508-5013
Phone: (616) 252-8339
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1041435 (MI)

Record details

NPI number1922483809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESJuly 21, 2015

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