Provider Demographics
NPI:1538745807
Name:GESCHWENDER, TRISTIN JOY (MS, RD)
Entity type:Individual
Prefix:MISS
First Name:TRISTIN
Middle Name:JOY
Last Name:GESCHWENDER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3368 E BELTLINE CT NE RM 13
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9480
Mailing Address - Country:US
Mailing Address - Phone:810-360-8670
Mailing Address - Fax:616-616-5604
Practice Address - Street 1:3368 E BELTLINE CT NE RM 13
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-9480
Practice Address - Country:US
Practice Address - Phone:810-360-8670
Practice Address - Fax:616-616-5604
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI86089199133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered