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

Paige Nicole Phizacklea, RD

Individual provider Registered Dietitian · NPI 1285507699

Paige Nicole Phizacklea, RD is registered under Registered Dietitian OR Nutrition Professional in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Registered with an NPI since 2025.

Years since qualifying
15
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Phone: (616) 486-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1285507699
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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 Not indicated

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