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

Live Well Nutrition, Inc

Organization Registered Dietitian · NPI 1629486964

Live Well Nutrition, Inc provides Registered Dietitian services 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 Not confirmed with CMS for 12 years — call before visiting
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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