LISA MAROUN (NPI# 1518272368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518272368 |
| Entity Type | Individual |
| Full Name | LISA MAROUN |
| Credential | R.D. |
| Practice Address |
39555 W 10 Mile Rd Suite 302 Novi MI 48375-2950 |
| Practice Telephone | 2484267200 |
| Practice Fax Number | 2484267335 |
| Mailing Telephone | 2484267200 |
| Mailing Fax Number | 2484267335 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CDR | 954207 | 01 |
| Street Address |
39555 W 10 MILE RD SUITE 302 |
| City | NOVI |
| State | MI |
| Zip Code | 48375-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666461 | Theodore William Shively | Family Medicine | 39555 W 10 Mile Rd, Suite 302, Novi, MI 48375-2950 | 2005-11-17 |
| 1265915748 | Lauren M Dunn | Registered Nurse | 39555 W 10 Mile Rd, Novi, MI 48375-2950 | 2018-09-11 |
| 1023421963 | Carla Ismail | Dentist | 39555 W 10 Mile Rd, Novi, MI 48375-2950 | 2014-06-09 |
| 1174875140 | Primecare Urgent Care Pllc | Clinic/Center | 39555 W 10 Mile Rd, Suite 301, Novi, MI 48375-2950 | 2012-10-15 |
| 1144551805 | Kelly M Krueger Do Pllc | Family Medicine | 39555 W 10 Mile Rd, Suite 305, Novi, MI 48375-2950 | 2010-01-20 |
| 1629237854 | Richard M Newman D.c. P.C. | Chiropractor | 39555 W 10 Mile Rd, #307, Novi, MI 48375-2950 | 2008-06-03 |
| 1972710945 | Michael P. Burk, D.p.m., Pllc | Podiatrist | 39555 W 10 Mile Rd, Suite 307, Novi, MI 48375-2950 | 2007-05-17 |
| 1053348359 | Michael Patrick Burk | Podiatrist | 39555 W 10 Mile Rd, Suite 307, Novi, MI 48375-2950 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| 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 |
|---|---|---|---|---|
| 1225651532 | Natalie Boschan Baum | Dietitian, Registered | 25693 Shoreline Dr, Novi, MI 48374-2169 | 2020-05-20 |
| 1902427420 | Kristy Stevenson | Dietitian, Registered | 47601 Grand River Ave Ste B136, Novi, MI 48374-1233 | 2020-05-06 |
| 1639703135 | Dina Angela Tallman | Dietitian, Registered | 156 Penhill St, Novi, MI 48377-1355 | 2020-02-24 |
| 1669988614 | Michelle Cote | Dietitian, Registered | 27275 Haggerty Rd, Novi, MI 48377-3633 | 2017-12-28 |
| 1114476678 | Meredith Ann Simcox | Dietitian, Registered | 51014 Almafi Ct, Novi, MI 48374-3323 | 2016-09-26 |
| 1104291400 | Deanna Denny | Dietitian, Registered | 23455 Haggerty Rd, Novi, MI 48375-3726 | 2015-12-11 |
| 1033495668 | Mary Farrell Gutmann | Dietitian, Registered | 24230 Karim Boulevard, Suite 130, Novi, MI 48375-2953 | 2011-10-27 |
| 1962975268 | Kelly Nohl | Dietitian, Registered | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-01-09 |
| 1043783483 | Kelly Golladay | Dietitian, Registered | 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 | 2019-01-08 |
| 1700396868 | Farrah Thwainey | Dietitian, Registered | 30880 Beck Rd, Novi, MI 48377-1000 | 2017-10-03 |
| Find all providers in NOVI | ||||
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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.