DEANNA MOLLICONE (NPI# 1316448178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316448178 |
| Entity Type | Individual |
| Full Name | DEANNA MOLLICONE |
| Credential | RDN |
| Practice Address |
43902 Woodward Ave Ste 230 Bloomfield Hills MI 48302-5022 |
| Mailing Address |
2611 Essex St Royal Oak MI 48073-2928 |
| Practice Telephone | 2488251616 |
| Mailing Telephone | 2488251616 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MI | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
MI | Behavioral Health & Social Service Providers | |
| N | 133N00000X | Nutritionist | MI | Dietary & Nutritional Service Providers | |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
MI | Dietary & Nutritional Service Providers | |
| Y | 133V00000X | Dietitian, Registered | MI | Dietary & Nutritional Service Providers | |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
MI | Dietary & Nutritional Service Providers | |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
MI | Dietary & Nutritional Service Providers | |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
MI | Dietary & Nutritional Service Providers |
| Street Address |
43902 WOODWARD AVE STE 230 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043561921 | Laurene Saad Younis | Psychologist | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2012-10-02 |
| 1528686524 | Sarah Cricket | Counselor | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2020-07-07 |
| 1679049167 | Sruti March | Naturopath | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2018-10-23 |
| 1831681329 | Associates of Integrative Medicine | Naturopath | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2018-05-31 |
| 1295241925 | Bethany Swanquist | Nutritionist | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2017-12-18 |
| 1215332275 | Sheba S. Roy | Naturopath | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2014-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1871151548 | Emily Holzman Camiener | Dietitian, Registered | 4050 W Maple Rd, Bloomfield Hills, MI 48301-3148 | 2019-05-29 |
| 1487153995 | Christine Elkhoury | Dietitian, Registered | 43902 Woodward Ave, Bloomfield Hills, MI 48302-5011 | 2018-02-09 |
| 1871922682 | Patrizia Jesue | Dietitian, Registered | 3910 Telegraph Rd, Suite 202, Bloomfield Hills, MI 48302-1420 | 2013-11-02 |
| 1508872110 | Zarna Jinesh Patel | Dietitian, Registered | 42557 Woodward Ave, Ste 200, Bloomfield Hills, MI 48304-5206 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850011 | Timothy Matthews | Dietitian, Registered | 5057 Jeddo Rd, Grant Township, MI 48032-1402 | 2020-10-31 |
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1497354823 | Carrie Elizabeth Couretas | Dietitian, Registered | 469 W Baker Ave, Clawson, MI 48017-1535 | 2020-10-17 |
| 1881292506 | Meghan Kathleen Pendleton | Dietitian, Registered | 26025 Pillsbury St, Farmington Hills, MI 48334-4345 | 2020-10-14 |
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1942817580 | Nourished Living LLC | Dietitian, Registered | 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 | 2020-09-28 |
| 1396352225 | Elizabeth Ferrall Consulting LLC | Dietitian, Registered | 10200 17 Mile Rd, Marshall, MI 49068-9797 | 2020-09-24 |
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.