JENNIFER LYNN HAUCK (NPI# 1558992172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558992172 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN HAUCK |
| Credential | RD |
| Practice Address |
1840 Wealthy St Se Grand Rapids MI 49506-2921 |
| Practice Telephone | 6167747378 |
| Mailing Telephone | 6167747378 |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023307550 | Jennifer Nowak Hauck | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Dumc 3094, Durham, NC 27710-0001 | 2011-04-05 |
| Street Address |
1840 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416463 | Zamir Gani Podgorica | Internal Medicine | 1840 Wealthy St Se, Mc 426, Grand Rapids, MI 49506-2921 | 2006-02-15 |
| 1275142564 | William Donald Gower York | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-07-23 |
| 1144873845 | Lisa Joy Mccann-spry | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-22 |
| 1942862107 | Rose Lauren Clousing | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-08 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1336646835 | Christopher John Hopkins | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-04-11 |
| 1184128910 | Cory Farrell | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-19 |
| 1508369356 | Jodie M Dixon | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-16 |
| 1609379957 | Andrea Lueck | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| 1427551886 | Samantha Carter | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1316575988 | Sarah Flessner | Dietitian, Registered | 100 Michigan St Ne # Mc84, Grand Rapids, MI 49503-2560 | 2020-03-30 |
| 1790311025 | Mitchell Paul Mrozik | Dietitian, Registered | 3308 Statesman Ct Ne, Grand Rapids, MI 49525-2685 | 2020-03-18 |
| 1881224665 | Darleena Scholten | Dietitian, Registered | 4520 Bonneville Dr Ne, Grand Rapids, MI 49525-1315 | 2020-01-22 |
| 1306320577 | Elizabeth Ames Eggleston | Dietitian, Registered | 7508 Whispering Ridge St Se, Grand Rapids, MI 49546-9168 | 2018-09-24 |
| 1457706707 | Patricia Ann Tucker | Dietitian, Registered | 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 | 2016-04-24 |
| 1477911352 | Rachel Laughlin | Dietitian, Registered | 4201 Kings Row Ct Nw, Grand Rapids, MI 49534-3495 | 2016-02-05 |
| 1922483809 | Stacey Niesen | Dietitian, Registered | 2215 44th St Se, Grand Rapids, MI 49508-5013 | 2015-07-21 |
| 1174944888 | Laura Brechting | Dietitian, Registered | 4 Union Ave Ne, Grand Rapids, MI 49503-3430 | 2013-12-23 |
| 1154769941 | Nancy Ann Ullrey | Dietitian, Registered | 3596 Tricklewood Dr Se, Grand Rapids, MI 49546-7246 | 2013-06-13 |
| 1104173251 | Denise Lynn Kesterke | Dietitian, Registered | 1450 Fulton St E, Grand Rapids, MI 49503-3854 | 2012-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.