MRS. BETHANY A MATUS (NPI# 1275063406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275063406 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY A MATUS |
| Credential | MS, RD |
| Practice Address |
17400 W 13 Mile Rd Beverly Hills MI 48025-5439 |
| Mailing Address |
2931 N Blair Ave Royal Oak MI 48073-3518 |
| Practice Telephone | 2487124584 |
| Mailing Telephone | 3135708473 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
17400 W 13 MILE RD |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470296 | Mark E Redman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-01-05 |
| 1114545399 | Anne Catherine Heuerman | Genetic Counselor, MS | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2020-07-14 |
| 1972861078 | Perry Stuart Friedman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2012-04-26 |
| 1881897403 | Zeynep Alpay Savasan | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2007-06-10 |
| 1710197397 | Amy E Whitten | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2007-05-23 |
| 1790722288 | Karoline Suzanne Puder | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-06-01 |
| 1134166200 | Ray O Bahado-singh | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-05-31 |
| 1477512226 | Richard Bronsteen | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1689273369 | Davina Azizzadeh | Dietitian, Registered | 121 N Oakhurst Dr, Beverly Hills, CA 90210-5504 | 2020-10-22 |
| 1356948814 | Shervin Golian | Dietitian, Registered | 208 S Wetherly Dr, Beverly Hills, CA 90211-2516 | 2020-10-07 |
| 1093325037 | Shahrzad Shazi Shabatian | Dietitian, Registered | 9478 W Olympic Blvd Ste 304, Beverly Hills, CA 90212-4246 | 2020-08-05 |
| 1144682725 | Rachelle Angela Caves | Dietitian, Registered | 250 N Robertson Blvd Ste 606, Beverly Hills, CA 90211-1793 | 2016-03-23 |
| 1255720165 | Christa Byrd | Dietitian, Registered | 31445 Sunset Dr, Beverly Hills, MI 48025-5108 | 2015-01-15 |
| 1336541606 | Elham Souferzadeh | Dietitian, Registered | 2240 Bowmont Dr, Beverly Hills, CA 90210-1807 | 2014-09-18 |
| 1538428354 | Christina Lin | Dietitian, Registered | 9461 Charleville Blvd, 406, Beverly Hills, CA 90212-3017 | 2012-05-14 |
| 1356679120 | Shani Mara Verchick | Dietitian, Registered | 9720 Wilshire Blvd Ste 708, Beverly Hills, CA 90212-2016 | 2009-12-06 |
| 1609101245 | Elana Sharon Rackman | Dietitian, Registered | 435 N. Roxury Drive, Ste 100, Beverly Hills, CA 90211-5003 | 2009-10-15 |
| 1861951196 | Rebecca Dardashti | Dietitian, Registered | 9171 Wilshire Blvd Ste 670, Beverly Hills, CA 90210-5517 | 2019-03-16 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
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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.