MRS. TRACY JEANNINE PFAFFENBERGER (NPI# 1306961602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306961602 |
| Entity Type | Individual |
| Full Name | MRS. TRACY JEANNINE PFAFFENBERGER |
| Credential | R.D., C.D. |
| Practice Address |
129 S Home St Mishawaka IN 46544-3134 |
| Practice Telephone | 5742569568 |
| Practice Fax Number | 5742560817 |
| Mailing Telephone | 5742569568 |
| Mailing Fax Number | 5742560817 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37000231A | IN | Dietary & Nutritional Service Providers |
| Street Address |
129 S HOME ST |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1952738460 | Ashlinn Kipp | Dietitian, Registered | 5509 Ottawa Ct Apt 2a, Mishawaka, IN 46545-8471 | 2013-09-28 |
| 1497095343 | April Lynn Root | Dietitian, Registered | St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 | 2013-02-28 |
| 1114129046 | Nikole Suzanne Barrett | Dietitian, Registered | 229 E Omer Ave, Mishawaka, IN 46545-6345 | 2007-06-04 |
| 1972149862 | Bailey Personette | Dietitian, Registered | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2019-11-26 |
| 1093219008 | Mayelin Lora-williams | Dietitian, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-03-23 |
| 1336467612 | Stephanie Terese Malley | Dietitian, Registered | 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 | 2010-05-11 |
| 1760560114 | Christina Kaye Senff | Dietitian, Registered | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
| 1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.