MAUREEN PATRICIA MOONEY-MICHELS (NPI# 1497058473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497058473 |
| Entity Type | Individual |
| Full Name | MAUREEN PATRICIA MOONEY-MICHELS |
| Credential | R.D., C.D.E. |
| Practice Address |
100 Mission Blvd Outpatient Diabetes Education Program Jackson CA 95642-2536 |
| Practice Telephone | 2092237448 |
| Practice Fax Number | 2092577670 |
| Mailing Telephone | 2092237448 |
| Mailing Fax Number | 2092577670 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 723372 | Dietary & Nutritional Service Providers |
| Street Address |
100 MISSION BLVD OUTPATIENT DIABETES EDUCATION PROGRAM |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777662 | Robert Ellsworth Young II | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2005-08-17 |
| 1508209909 | Surgical Affiliates of California, Inc. | Clinic/Center | 100 Mission Blvd, Suite B116, Jackson, CA 95642-2536 | 2013-04-16 |
| 1164794012 | Sutter Valley Hospitals | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2012-02-07 |
| 1033499215 | April Michelle Boitano | Advanced Practice Midwife | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2011-08-19 |
| 1295053833 | Aye Myat Moe | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 | 2010-05-06 |
| 1861644635 | Melanie M Trowbridge | Psychologist | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-10-10 |
| 1760657720 | Yosemite Pathology Medical Group, Inc | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2008-04-29 |
| 1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
| 1134293459 | Amy A. Appleton | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642 | 2006-11-20 |
| 1477656932 | Vikram Ramkumar Kumar | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2534 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| 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 |
|---|---|---|---|---|
| 1104427780 | Ronald Dwayne Woods | Dietitian, Registered | 1 Ashton Gardens Dr, Jackson, MS 39211-4275 | 2020-11-02 |
| 1033720081 | Allison Kay Lopeman | Dietitian, Registered | 3120 Mccain Rd, Jackson, MI 49203-2506 | 2020-08-13 |
| 1477177723 | Samantha Jo Rogers | Dietitian, Registered | 117 Vanden St Apt 303, Jackson, TN 38301-5638 | 2020-06-02 |
| 1477185817 | Debra Ann Schumer | Dietitian, Registered | 1616 County Road 318, Jackson, MO 63755-8072 | 2020-02-04 |
| 1053956847 | Tori Onita Mincemeyer | Dietitian, Registered | 2630 Old Orchard Rd, Jackson, MO 63755-3824 | 2019-11-15 |
| 1588172829 | Mary K Brighton | Dietitian, Registered | 27 S Cooks Bridge Rd Ste 2-3, Jackson, NJ 08527-2524 | 2018-01-22 |
| 1538673447 | Miriam Benedikt | Dietitian, Registered | 4 Danielle Ct, Jackson, NJ 08527-2928 | 2017-11-30 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1912431958 | Angela Raleigh | Dietitian, Registered | 955 Highway 30 W, Jackson, KY 41339-7846 | 2017-04-17 |
| 1134576267 | Candice O'hare | Dietitian, Registered | 1217 Chamberlain Dr, Jackson, MO 63755-2940 | 2016-05-18 |
| Find all providers in JACKSON | ||||
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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.