Organization
Renovate Your Plate
Provider's NPPES record last updated: February 1, 2022
Overview
- Entity Type
- Organization
- NPI
- 1558014415
- Primary Specialty
- Dietitian, Registered — Nutrition, Sports Dietetics
- Practice Location
- Indianapolis, Indiana
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dietitian, Registered
Nutrition, Sports Dietetics
Dietary & Nutritional Service Providers
An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance.
Taxonomy code 133VN1501X Community/Behavioral Health
Agencies
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Taxonomy code 251S00000XClinic/Center
Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QM0801X
Practice Locations
Practice Location
1030 Central Ave Ste 3
Indianapolis, Indiana 46202-2794
Phone: (317) 508-3427
Additional Practice Location
1980 E 1116th Street
Suite 120b
Carmel, Indiana 46032-4620
Phone: (317) 508-3427
Record Information
- Enumeration Date
- February 1, 2022
- Provider's NPPES Record Last Updated
- February 1, 2022
- Certification Date
- January 21, 2022
- NPISignal NPPES Dataset
- August 2026
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