JOANNA DICICCO (NPI# 1548683063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548683063 |
| Entity Type | Individual |
| Full Name | JOANNA DICICCO |
| Other Name | JOANNA SHEILL |
| Credential | R.D., C.D.E |
| Practice Address |
912 S Old Woodward Ave Ste 200 Birmingham MI 48009-6721 |
| Practice Telephone | 2486314756 |
| Mailing Telephone | 2486314756 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86008107 | MI | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| One Hurley Plaza, Son 5th Floor, Flint, MI 485035993 | 8102629353 | 8107600440 |
| Street Address |
912 S OLD WOODWARD AVE STE 200 |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730467812 | Valerie Luxon | Psychologist | 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009-6721 | 2011-07-24 |
| 1447706213 | Mybody, Pllc | Psychologist | 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009-6721 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| 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 |
|---|---|---|---|---|
| 1093374753 | Laura Gaston | Dietitian, Registered | 3000 Meadow Lake Dr Ste 111, Birmingham, AL 35242-0302 | 2019-06-06 |
| 1194292896 | Afiya Paige | Dietitian, Registered | 2612 Singapore Dr, Birmingham, AL 35211-6923 | 2018-10-31 |
| 1710473624 | Leigh Pritchett | Dietitian, Registered | 1201 11th Ave S Ste 515, Birmingham, AL 35205-3423 | 2018-07-03 |
| 1831604826 | Jennifer Rainie Carter | Dietitian, Registered | 2300 1st Ave N, Birmingham, AL 35203-4326 | 2017-12-12 |
| 1982121513 | St Vincents Ambulatory Healthcare Network LLC | Dietitian, Registered | 7191 Cahaba Valley Rd Ste 107, Birmingham, AL 35242-6443 | 2017-08-24 |
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1255875076 | Stephanie Grenert | Dietitian, Registered | 7160 Cahaba Valley Rd, Birmingham, AL 35242-6401 | 2016-12-13 |
| 1649642760 | Amy Claire Grisham | Dietitian, Registered | 2807 Greystone Commercial Blvd Ste 36, Birmingham, AL 35242-9601 | 2015-10-28 |
| 1811389091 | Kristi Sibert | Dietitian, Registered | 114 Ashford Cir, Birmingham, AL 35242-6829 | 2015-02-25 |
| 1467851220 | Susan Griffin | Dietitian, Registered | 1021 31st St S, Birmingham, AL 35205-1107 | 2014-08-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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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.