VICKIE CRAKER


Address: 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169
Phone: 5746472550

VICKIE CRAKER (NPI# 1407988983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 37000652A IN Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
53078 County Kerry Dr, Granger, IN 465309400 5742724099 8667517170

Office Location

Street Address 100 NAVARRE PL STE 5550
City SOUTH BEND
State IN
Zip Code 46601-1169

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City SOUTH BEND
Zip Code 46601

Improve Information

Please comment or provide details below to improve the information on VICKIE CRAKER.

Dataset Information

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.

Trending Searches