MRS. MICHELLE DER (NPI# 1376975607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376975607 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE DER |
| Credential | RD, LDN, CDE |
| Practice Address |
3249 Oak Park Ave Berwyn IL 60402-3429 |
| Practice Telephone | 7087833077 |
| Mailing Telephone | 7087833077 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.000159 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609544 | Michelle Der | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2017-10-08 |
| Street Address |
3249 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690830 | Mark Choi | Radiology | 3249 Oak Park Ave, Metropolitan Advanced Radiological Services, Ltd, Berwyn, IL 60402-3429 | 2005-09-26 |
| 1316553969 | Bridget Prendergast | Nurse Anesthetist, Certified Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-09-18 |
| 1033731914 | Nicolas Zuniga Penaranda | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-05-13 |
| 1508487786 | Jack Steven Schirmer | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-29 |
| 1750902003 | Peter Kim | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-28 |
| 1851911762 | Tucker Brush | Internal Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-21 |
| 1225657497 | Yesenia Valdivia | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-08 |
| 1386273621 | Darryl Jon Giambalvo | Student in an Organized Health Care Education/Training Program | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1700415049 | Brett Patrick Nelson | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-0715 | 2020-04-08 |
| 1013546753 | Maria Ramirez | Family Medicine | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1609126820 | Adrienne Burns | Dietitian, Registered | 321 Greene Rd, Berwyn, PA 19312-1065 | 2012-09-14 |
| 1215179601 | Meghan E Nichols | Dietitian, Registered | 219 Lenape Dr, Berwyn, PA 19312-1848 | 2009-03-31 |
| 1033394911 | Sandra Avitia | Dietitian, Registered | 2111 Wesley Ave, Berwyn, IL 60402-1860 | 2008-01-09 |
| 1376011213 | Leslie Michele Giambalvo | Dietitian, Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2018-11-08 |
| 1881107787 | Lauren Gustafson | Dietitian, Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2017-11-14 |
| 1205279007 | Veronika Meyster | Dietitian, Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2013-04-10 |
| 1609143205 | Carolyn Gordon | Dietitian, Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2011-11-27 |
| 1285956250 | Devon Fitness Club | Dietitian, Registered | 1340 Swedesford Rd, Berwyn, PA 19312-1087 | 2010-02-18 |
| 1447490297 | Jill Gerelle Whitney | Dietitian, Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2009-03-05 |
| Find all providers in BERWYN | ||||
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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.