VICKIE CRAKER (NPI# 1407988983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407988983 |
Entity Type | Individual |
Full Name | VICKIE CRAKER |
Credential | RD,CSP,CD |
Practice Address |
100 Navarre Pl Ste 5550 South Bend IN 46601-1169 |
Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
Practice Telephone | 5746472550 |
Practice Fax Number | 5746471129 |
Mailing Telephone | 5746471610 |
Mailing Fax Number | 5742376069 |
Enumeration Date | 2007-03-11 |
Last Update Date | 2019-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 37000652A | IN | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
53078 County Kerry Dr, Granger, IN 465309400 | 5742724099 | 8667517170 |
Street Address |
100 NAVARRE PL STE 5550 |
City | SOUTH BEND |
State | IN |
Zip Code | 46601-1169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275802332 | Diana E Perez - Solano | Physician Assistant | 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 | 2011-12-19 |
1427339597 | Rebecca Kathleen Kelln | Physician Assistant | 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 | 2011-09-02 |
1538470018 | Stacey Rene Le Fevre Young | Psychologist | 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 | 2010-06-29 |
1548415474 | Beacon Medical Group, Inc. | Pediatrics | 100 Navarre Pl Ste 5550, South Bend, IN 46601 | 2008-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
Find all providers in zip 46601 |
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 |
---|---|---|---|---|
1598218950 | Erin Hurst | Dietitian, Registered | 6301 University Commons Ste 430, South Bend, IN 46635-1416 | 2016-08-02 |
1568681989 | Maureen Renee Jamieson | Dietitian, Registered | Memorial Hospital, 615 N Michigan, South Bend, IN 46601 | 2007-04-24 |
1861012809 | Erin Hurst Nutrition & Wellness, LLC | Dietitian, Registered | 6301 University Commons Ste 430, South Bend, IN 46635-1416 | 2020-04-20 |
1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
1487145017 | Cecily Maes | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1087 | 2018-05-18 |
1134619158 | Amanda Glass | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-15 |
1245729946 | Kaitlin Wiley | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-08 |
1255820940 | Kelsey Lynn Herwick | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-08 |
1689193096 | Denise Garoutte-bell | Dietitian, Registered | 1216 West Robert Bush Drive, South Bend, WA 98586 | 2017-09-18 |
1578013058 | Jennifer N Besemer | Dietitian, Registered | 211 N Eddy St., South Bend, IN 46617 | 2016-10-10 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46601 |
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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.