MARY KETTNER HANNUM (NPI# 1467685602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467685602 |
| Entity Type | Individual |
| Full Name | MARY KETTNER HANNUM |
| Credential | RD, LD, CDE |
| Practice Address |
1515 S Byrne Rd Toledo OH 43614-3458 |
| Practice Telephone | 4193823475 |
| Mailing Telephone | 4193823475 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2423 | OH | Dietary & Nutritional Service Providers |
| Street Address |
1515 S BYRNE RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247673 | Michael Patrick Jajuga | Chiropractor | 1515 S Byrne Rd, Suite 106, Toledo, OH 43614-3458 | 2005-07-01 |
| 1609391275 | Brian Allen Mahas | Registered Nurse | 1515 S Byrne Rd, Toledo, OH 43614-3458 | 2017-08-04 |
| 1134501752 | Professional Health Care LLC | Home Health | 1515 S Byrne Rd, Suite 109, Toledo, OH 43614-3458 | 2015-06-19 |
| 1205166154 | Pharmacy Counter, LLC | Durable Medical Equipment & Medical Supplies | 1515 S Byrne Rd, Suite 119, Toledo, OH 43614-3458 | 2009-12-28 |
| 1194882084 | Colony Pharmacy, Inc | Pharmacy | 1515 S Byrne Rd, Toledo, OH 43614-3458 | 2007-01-02 |
| 1801994322 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1515 S Byrne Rd, Toledo, OH 43614 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| 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 |
|---|---|---|---|---|
| 1992334486 | Isa Kujawski | Dietitian, Registered | 2361 Saint James Woods Blvd, Toledo, OH 43617-1227 | 2020-04-06 |
| 1649744137 | Kelli Alisa Fischer | Dietitian, Registered | 2142 N Cove Blvd Fl 1, Toledo, OH 43606-3895 | 2019-01-17 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1316362700 | Theresa Tate | Dietitian, Registered | 3930 Sunforest Ct Ste 100, Toledo, OH 43623-4441 | 2014-02-21 |
| 1104097955 | Kristi Mason | Dietitian, Registered | 1125 Hospital Dr., Health Science Campus Mail Stop 1062, Toledo, OH 43614-2598 | 2008-03-20 |
| 1942498639 | Mary L Walters | Dietitian, Registered | 268 Kingswood Trl, Toledo, OH 43615-5445 | 2007-10-09 |
| 1013102219 | Michele Bahns | Dietitian, Registered | 3909 Woodley Rd Ste 200, Toledo, OH 43606-1100 | 2007-09-11 |
| 1437290749 | Allison B Beck | Dietitian, Registered | 2222 Cherry St Ste 1600, Toledo, OH 43608 | 2007-02-09 |
| 1255418257 | Mindy Udell Abramson | Dietitian, Registered | 5627 Dianne Ct, Toledo, OH 43623-1076 | 2006-11-01 |
| 1538168976 | Jennifer Lynn Gilliland | Dietitian, Registered | 2100 W Central Ave Ste 120, Toledo, OH 43606-3817 | 2005-07-19 |
| Find all providers in TOLEDO | ||||
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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.