MICHCAEL W LUNDY (NPI# 1598100695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598100695 |
| Entity Type | Individual |
| Full Name | MICHCAEL W LUNDY |
| Credential | MS, RDN, LD |
| Practice Address |
7303 S Gafford Blvd Broken Arrow OK 74014-2620 |
| Practice Telephone | 9188932591 |
| Mailing Telephone | 9188932591 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1648 | OK | Dietary & Nutritional Service Providers |
| Street Address |
7303 S GAFFORD BLVD |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| 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 |
|---|---|---|---|---|
| 1538794813 | Xuan T Nguyen | Dietitian, Registered | 1906 N Aster Pl, Broken Arrow, OK 74012-1376 | 2020-03-07 |
| 1275178907 | Lisa Greenfield | Dietitian, Registered | 5004 S Ironwood Ave, Broken Arrow, OK 74011-3228 | 2019-11-18 |
| 1477106300 | Virginia Porter Trammell | Dietitian, Registered | 4308 W Edgewater St, Broken Arrow, OK 74012-9433 | 2019-07-19 |
| 1891263968 | Madison Hannah Smith | Dietitian, Registered | 1000 W Boise Cir Fl 3, Broken Arrow, OK 74012-4900 | 2018-11-07 |
| 1861974008 | Heather Leigh Hargrave | Dietitian, Registered | 2800 N 23rd St Apt 2021, Broken Arrow, OK 74014-2044 | 2018-09-04 |
| 1073001061 | Marcia Curley | Dietitian, Registered | 4301 W Broadway St, Broken Arrow, OK 74012-8614 | 2018-04-25 |
| 1245772029 | Brooke Haley Mcintyre | Dietitian, Registered | 28149 E 97th St S, Broken Arrow, OK 74014-3413 | 2016-11-10 |
| 1790147700 | Karla Musseman | Dietitian, Registered | 4507 S Ash Ave, Broken Arrow, OK 74011-3600 | 2016-03-28 |
| 1720486046 | Lindsey Ince | Dietitian, Registered | 713 N Laurel Ave, Broken Arrow, OK 74012-2265 | 2014-12-18 |
| 1316341415 | Louise Renee Walters | Dietitian, Registered | 1717 N 12th St, Broken Arrow, OK 74012-9394 | 2014-10-17 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
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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.