MR. MICHAEL JUDE LIBBEY SR. (NPI# 1508086430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086430 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JUDE LIBBEY SR. |
| Credential | R.D.,C.D.E. |
| Practice Address |
72 Woodview Ave Youngstown OH 44512-4645 |
| Practice Telephone | 3308816439 |
| Practice Fax Number | 3307265465 |
| Mailing Telephone | 3308816439 |
| Mailing Fax Number | 3307265465 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD 2524 | OH | Dietary & Nutritional Service Providers |
| Street Address |
72 WOODVIEW AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1447863253 | Kaitlyn Daff | Dietitian, Registered | 3949 S Schenley Ave, Youngstown, OH 44511-3428 | 2020-08-31 |
| 1861934465 | Elizabeth Ann Miller | Dietitian, Registered | 352 Brentwood Dr, Youngstown, NY 14174-1404 | 2016-11-14 |
| 1831423474 | Marcia G Levy | Dietitian, Registered | 125 Churchill Hubbard Rd, Youngstown, OH 44505-1322 | 2009-09-30 |
| 1477728673 | Kathleen Rene Marcus | Dietitian, Registered | 6845 Tanglewood Dr, Youngstown, OH 44512-4928 | 2008-04-28 |
| 1245366517 | Diane Racz | Dietitian, Registered | 175 Maple Leaf Dr, Youngstown, OH 44515-2229 | 2007-02-23 |
| 1972588341 | Kimberly J. Kengor | Dietitian, Registered | 900 Sahara Trl, Youngstown, OH 44514-3667 | 2005-12-08 |
| 1194384552 | Gabrielle M Monk | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-06-10 |
| 1245797737 | Jacquelyn K Oddo | Dietitian, Registered | 726 Wick Ave, Youngstown, OH 44505-2827 | 2019-02-21 |
| 1104222652 | Kelly L Scott | Dietitian, Registered | 819 Southwestern Run, Youngstown, OH 44514-3688 | 2014-11-11 |
| 1396020335 | Michelle Marie Borovitcky | Dietitian, Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2011-10-20 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.