LORI ANN HOLLEQUE (NPI# 1518900323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518900323 |
| Entity Type | Individual |
| Full Name | LORI ANN HOLLEQUE |
| Other Name | LORI ANN MOORE |
| Credential | RD |
| Practice Address |
817 W High St Jackson MI 49203-2986 |
| Mailing Address |
Department 272801 Po Box 67000 Detroit MI 48267-2728 |
| Practice Telephone | 5177879322 |
| Practice Fax Number | 5177870936 |
| Mailing Telephone | 5178416913 |
| Mailing Fax Number | 5178416917 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 709333 | MI | Dietary & Nutritional Service Providers |
| Street Address |
817 W HIGH ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559666 | Elliot Hardy | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-21 |
| 1043508674 | Tate Tatro | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2011-07-18 |
| 1639472962 | Gloria J Smith | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2010-12-08 |
| 1114245982 | Family Services & Children's Aid | Community/Behavioral Health | 817 W High St, Jackson, MI 49203-2986 | 2010-05-04 |
| 1891812467 | Christina Martoia | Counselor | 817 W High St, Jackson, MI 49203-2986 | 2007-03-26 |
| 1063546661 | Carrie Matson | Counselor | 817 W High St, Jackson, MI 49203-2986 | 2007-03-15 |
| 1285793521 | Hasan M Qutob | Internal Medicine | 817 W High St, Jackson, MI 49203-2986 | 2006-12-06 |
| 1154480499 | Hasan M Qutob | Internal Medicine | 817 W High St, Jackson, MI 49203-2986 | 2006-12-06 |
| 1124061825 | Bunee Price Morrison | Dietitian, Registered | 817 W High St, Jackson, MI 49203-2986 | 2006-06-13 |
| 1497711667 | Jane Grover | Dentist | 817 W High St, Jackson, MI 49203-2986 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| 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.