NUTRITION ENTERPIRSES (NPI# 1558698613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558698613 |
| Entity Type | Organization |
| Organization Name | NUTRITION ENTERPIRSES |
| Practice Address |
400 Renaissance Ctr Ste 2600 Detroit MI 48243-1502 |
| Mailing Address |
13183 Backus St Southgate MI 48195-1147 |
| Practice Telephone | 7344446720 |
| Mailing Telephone | 7344446720 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | GAIL KING (CEO) |
| Authorized Official Telephone | 7344446720 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | 800034 | MI | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers | ||
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8415 Concord Rd, Grosse Ile, MI 481381383 | 7346241253 |
| Street Address |
400 RENAISSANCE CTR STE 2600 |
| City | DETROIT |
| State | MI |
| Zip Code | 48243-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679972 | Christian M Roberson | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-11-03 |
| 1275130882 | Amber Shaw | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-10-06 |
| 1841897766 | Lindsay Ann Pluta | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-10-04 |
| 1326651217 | Laura Morillo | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-08-28 |
| 1881204220 | Mathrine Marquis | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-31 |
| 1740899269 | Andrew Zamora | Behavior Technician | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-30 |
| 1255940557 | Carmen Watts | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-23 |
| 1477161479 | Olivia Rose Collins | Technician, Other | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-07-16 |
| 1851915623 | Wound Pros Michigan | Durable Medical Equipment & Medical Supplies | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-06-08 |
| 1417576471 | Ride Ready Transportation LLC | Non-emergency Medical Transport (VAN) | 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055424 | Aeos Care Mi, Inc. | In Home Supportive Care | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-03-06 |
| 1952837163 | Genuine Care Services LLC | Exclusive Provider Organization | 400 Renaissance Center Suite 2600, Detroit, MI 48243 | 2017-05-08 |
| 1245786029 | Elissa Karstu | Chiropractor | 600 Tower Level 1, Renaissance Center, Detroit, MI 48243 | 2016-08-31 |
| 1730664202 | Aeos Care Mi, Inc. | Durable Medical Equipment & Medical Supplies | 400 Renaissance Center, 26th Floor, Detroit, MI 48243 | 2018-10-01 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1902370919 | Athletico Ltd | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-01-14 |
| 1194366781 | Hillary Menestrina | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-10-04 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1922428887 | P-cor, LLC | Eyewear Supplier (Equipment, not the service) | 400 Renaissance Ctr Ste 1402, Detroit, MI 48243-1502 | 2014-04-18 |
| 1093090359 | Elyse Wiseman Bradford | Behavioral Analyst | 400 Renaissance Ctr, Suite 2600, Detroit, MI 48243-1502 | 2011-10-19 |
| Find all providers in zip 48243 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851834865 | Krystyna Skowronski | Dietitian, Registered | 22201 Moross Rd, Suite 135, Detroit, MI 48236-2169 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471220 | Katelyn Biros | Dietitian, Registered | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-06-09 |
| 1407487424 | Jessica B Doorn | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-29 |
| 1700324068 | Kayla Bridges | Dietitian, Registered | 3601 W 13 Mile Rd, 5 South Tower Nicu, Royal Oak, MI 48073-6712 | 2017-02-07 |
| 1154722668 | Meryl Krochmal | Dietitian, Registered | 44000 W 12 Mile Rd, Novi, MI 48377-2644 | 2014-09-16 |
| 1588966477 | Elisabeth Faber | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2010-11-26 |
Please comment or provide details below to improve the information on NUTRITION ENTERPIRSES.
| 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.