MRS. GWEN MARIE EHLERS


Address: 801 E Lasalle Ave, South Bend, IN 46617-2814
Phone: 5742377514

MRS. GWEN MARIE EHLERS (NPI# 1558448035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558448035
Entity Type Individual
Full Name MRS. GWEN MARIE EHLERS
Credential RD. CD
Practice Address 801 E Lasalle Ave
South Bend
IN 46617-2814
Mailing Address 13898 Layton Rd
Mishawaka
IN 46544-9498
Practice Telephone 5742377514
Mailing Telephone 5746334748
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 37001241A IN Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN DIETITIAN CERTIFICATION 37001241A 01
AM DIETETIC ASSC 818472 01

Office Location

Street Address 801 E LASALLE AVE
City SOUTH BEND
State IN
Zip Code 46617-2814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901600 Lisa Ribble I Pharmacist 801 E Lasalle Ave, South Bend, IN 46617-2814 2005-11-30
1023275450 Jennifer Marie Maskulinski Speech-Language Pathologist 801 E Lasalle Ave, South Bend, IN 46617-2814 2008-05-22
1023225398 Allison R Tucker Pharmacist 801 E Lasalle Ave, South Bend, IN 46617-2814 2007-05-17
1922213768 St Joe Regional Medical Center South Bend Campus Inc General Acute Care Hospital 801 E Lasalle Ave, South Bend, IN 46617-2814 2007-05-14
1235283490 Danniel Lee Cline Pharmacist 801 E Lasalle Ave, South Bend, IN 46617-2814 2007-01-23
1083764096 Miriam Mckiernan Tribbett Physical Therapist 801 E Lasalle Ave, South Bend, IN 46617 2007-01-11
1518020676 Nathaniel Douglas Sagarsee Pharmacist 801 E Lasalle Ave, South Bend, IN 46617-2814 2006-12-19
1962589440 Laura Ann Ipe Dietitian, Registered 801 E Lasalle Ave, South Bend, IN 46617-2814 2006-11-01
1801803531 Zahia M Hassan Pediatrics 801 E Lasalle Ave, Deborah Lawson Clinical Education, South Bend, IN 46617-2814 2006-08-02
1548203128 Albert P Tomchaney Family Medicine 801 E Lasalle Ave, South Bend, IN 46617-2814 2006-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
Find all providers in zip 46617

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598218950 Erin Hurst Dietitian, Registered 6301 University Commons Ste 430, South Bend, IN 46635-1416 2016-08-02
1568681989 Maureen Renee Jamieson Dietitian, Registered Memorial Hospital, 615 N Michigan, South Bend, IN 46601 2007-04-24
1407988983 Vickie Craker Dietitian, Registered 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 2007-03-11
1861012809 Erin Hurst Nutrition & Wellness, LLC Dietitian, Registered 6301 University Commons Ste 430, South Bend, IN 46635-1416 2020-04-20
1962993386 Gail Gronek Weismann Dietitian, Registered 615 N Michigan St, South Bend, IN 46601-1033 2018-05-21
1487145017 Cecily Maes Dietitian, Registered 615 N Michigan St, South Bend, IN 46601-1087 2018-05-18
1134619158 Amanda Glass Dietitian, Registered 615 N Michigan St, South Bend, IN 46601-1033 2018-05-15
1245729946 Kaitlin Wiley Dietitian, Registered 615 N Michigan St, South Bend, IN 46601-1033 2018-05-08
1255820940 Kelsey Lynn Herwick Dietitian, Registered 615 N Michigan St, South Bend, IN 46601-1033 2018-05-08
1689193096 Denise Garoutte-bell Dietitian, Registered 1216 West Robert Bush Drive, South Bend, WA 98586 2017-09-18
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

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.

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