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Nicole Broderson, MS, RD
NPI 1073388559 · Registered Dietitian · Grand Rapids, MI
Nicole Broderson, MS, RD is a Registered Dietitian provider in Grand Rapids, MI (NPI 1073388559).
Provider details
- NPI number
- 1073388559
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
221 Michigan St Ne Ste 200
Grand Rapids, MI 49503-2533
Phone: (616) 267-8950
Street-level locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2023-11-15
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Frequently asked questions
- What is Nicole Broderson's NPI number?
- Nicole Broderson's National Provider Identifier (NPI) is 1073388559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Broderson's specialty?
- Nicole Broderson is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nicole Broderson located?
- Nicole Broderson's practice location on file with NPPES is 221 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2533.
- What is Nicole Broderson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Broderson is (616) 267-8950.
- Is Nicole Broderson's NPI active?
- Yes — Nicole Broderson's NPI (1073388559) is active in the NPPES registry as of the last update on 2024-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.