Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT TANNIN TABATA, MS, RD
ActiveBRENT TANNIN TABATA, MS, RD is a Registered Dietitian healthcare provider located in GRAND RAPIDS, Michigan. NPI 1922702638 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1922702638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2023 (3.3554145121748 yrs)
- Last Updated
- Jun 5, 2023
- License
-
973751 (MI)
Practice Information
- Address
-
360 LAFAYETTE AVE SE STE 400GRAND RAPIDS, MI, 495034677Browse MI providers · Browse ZIP 49503
- Phone
- 6164866870
- Fax
- 6164546898
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| TRINA M WEBER | MS RD | 1679546337 |
| MS. TRACY MARIE BOOTH | MA, RDN | 1124094321 |
| LORI L SCHERMERS | BS RD | 1174582340 |
| MRS. KATHRYN NICOLE THROOP | RD | 1811935851 |
| STACIE MICHELE RYLANCE | RD | 1598708570 |
| MS. AMY MARIE BRITTON | RD | 1568408854 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.