MS. MARY KATHRYN AUSICH (NPI# 1174032478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174032478 |
| Entity Type | Individual |
| Full Name | MS. MARY KATHRYN AUSICH |
| Credential | RD, CDE |
| Practice Address |
7901 S 12th St Ste 200 Portage MI 49024-3831 |
| Mailing Address |
601 John Street Box 39 Kalamazoo MI 49007 |
| Practice Telephone | 2693418585 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1024516 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 535 S Burdick St Ste 256, Kalamazoo, MI 490076112 | 2693418585 |
| Street Address |
7901 S 12TH ST STE 200 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528195450 | Anna Maria Welcome | Obstetrics & Gynecology | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2007-02-27 |
| 1346750098 | Randi Shel Klop | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2017-10-09 |
| 1518354034 | Michelle Voss | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2015-04-22 |
| 1023437043 | Priyanka Bikkina | Internal Medicine | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2014-04-08 |
| 1699108589 | Erika Ford | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2013-08-14 |
| 1295171189 | Corey J. Lager | Internal Medicine | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2013-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1245796630 | Beth Smith | Dietitian, Registered | 270 Point O Woods Dr, Portage, MI 49002-7191 | 2019-02-11 |
| 1093042475 | Tina Freiwald | Dietitian, Registered | 622 Farren St, Portage, PA 15946-1618 | 2009-11-05 |
| 1982266854 | Emily Elizabeth Ahle | Dietitian, Registered | 2600 W Centre Ave, Portage, MI 49024-4828 | 2019-07-01 |
| 1326603424 | Morgan Valene Muchez | Dietitian, Registered | 7775 Angling Rd, Portage, MI 49024-7427 | 2019-05-03 |
| 1447743042 | Megan M Cornell | Dietitian, Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-06-08 |
| 1346750098 | Randi Shel Klop | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2017-10-09 |
| 1962938811 | Emily Kraemer | Dietitian, Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-05-11 |
| 1518354034 | Michelle Voss | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2015-04-22 |
| 1386036424 | Meredith Ludwig | Dietitian, Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2015-02-26 |
| 1699108589 | Erika Ford | Dietitian, Registered | 7901 S 12th St Ste 200, Portage, MI 49024-3831 | 2013-08-14 |
| Find all providers in PORTAGE | ||||
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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.