MRS. JENNIFER FILLENWORTH (NPI# 1134525611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134525611 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER FILLENWORTH |
| Credential | RD |
| Practice Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Practice Telephone | 6166856122 |
| Mailing Telephone | 6166856122 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86011107 | MI | Dietary & Nutritional Service Providers |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929353 | Grand River Emergency Medical Group Plc | Emergency Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2005-06-01 |
| 1073130449 | Jessica Goldsworthy | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-07-01 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1669099560 | Kamah Ellena | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-26 |
| 1629694344 | Yoad Yechiel Porat | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1851917587 | Danuka Manupriya Ubayasena | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1619593530 | Albert Dongzhou Jiao | Radiology | 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 | 2020-06-17 |
| 1548882046 | Rebecca Tourison | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-05-07 |
| 1942821079 | Breanne Nicole Ranucci | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-29 |
| 1750901757 | Nicholas Patrick Callahan | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575988 | Sarah Flessner | Dietitian, Registered | 100 Michigan St Ne # Mc84, Grand Rapids, MI 49503-2560 | 2020-03-30 |
| 1790311025 | Mitchell Paul Mrozik | Dietitian, Registered | 3308 Statesman Ct Ne, Grand Rapids, MI 49525-2685 | 2020-03-18 |
| 1881224665 | Darleena Scholten | Dietitian, Registered | 4520 Bonneville Dr Ne, Grand Rapids, MI 49525-1315 | 2020-01-22 |
| 1306320577 | Elizabeth Ames Eggleston | Dietitian, Registered | 7508 Whispering Ridge St Se, Grand Rapids, MI 49546-9168 | 2018-09-24 |
| 1457706707 | Patricia Ann Tucker | Dietitian, Registered | 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 | 2016-04-24 |
| 1477911352 | Rachel Laughlin | Dietitian, Registered | 4201 Kings Row Ct Nw, Grand Rapids, MI 49534-3495 | 2016-02-05 |
| 1922483809 | Stacey Niesen | Dietitian, Registered | 2215 44th St Se, Grand Rapids, MI 49508-5013 | 2015-07-21 |
| 1174944888 | Laura Brechting | Dietitian, Registered | 4 Union Ave Ne, Grand Rapids, MI 49503-3430 | 2013-12-23 |
| 1154769941 | Nancy Ann Ullrey | Dietitian, Registered | 3596 Tricklewood Dr Se, Grand Rapids, MI 49546-7246 | 2013-06-13 |
| 1104173251 | Denise Lynn Kesterke | Dietitian, Registered | 1450 Fulton St E, Grand Rapids, MI 49503-3854 | 2012-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.