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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 37001241A | IN | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | DIETITIAN CERTIFICATION | 37001241A | 01 |
AM DIETETIC ASSC | 818472 | 01 |
Street Address |
801 E LASALLE AVE |
City | SOUTH BEND |
State | IN |
Zip Code | 46617-2814 |
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 |
Find all providers in the same location |
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 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 |
---|---|---|---|---|
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 |
City | SOUTH BEND |
Zip Code | 46617 |
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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.