MRS. KAREN SUE HANEBRINK (NPI# 1417079542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417079542 |
| Entity Type | Individual |
| Full Name | MRS. KAREN SUE HANEBRINK |
| Credential | RD |
| Practice Address |
13020 East County Road 720 N Charleston IL 61920 |
| Practice Telephone | 2173487065 |
| Mailing Telephone | 2173487065 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| Street Address |
13020 EAST COUNTY ROAD 720 N |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| 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 |
|---|---|---|---|---|
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1568081024 | Lowcountry Street Grocery | Dietitian, Registered | 1630 Meeting Street Rd, Charleston, SC 29405-9436 | 2020-04-14 |
| 1649810953 | Elise Marcela Rodriguez | Dietitian, Registered | 165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 | 2020-01-14 |
| 1720560311 | Marie J Seeger | Dietitian, Registered | 1546 Gardenia Rd, Charleston, SC 29407-5212 | 2018-08-30 |
| 1437665536 | Heather Dawn Whittington | Dietitian, Registered | 600 Tracy Way Ste 2, Charleston, WV 25311-1262 | 2017-12-27 |
| 1750896890 | Kelly Mckenzie | Dietitian, Registered | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2017-12-12 |
| 1720501166 | Kayla Nicole Fitzgerald | Dietitian, Registered | 1 Carriage Ln Ste 101, Charleston, SC 29407-6060 | 2017-07-18 |
| 1720538309 | Emma Mary Falconer | Dietitian, Registered | 10 Bee St Apt C, Charleston, SC 29403-5854 | 2016-10-07 |
| 1306395652 | Mia Syn | Dietitian, Registered | 124 Wentworth St, Apartment 4a, Charleston, SC 29401-1762 | 2016-09-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
Please comment or provide details below to improve the information on MRS. KAREN SUE HANEBRINK.
| 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.