MIKHAILA SAILOR


Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160
Phone: 2604357995

MIKHAILA SAILOR (NPI# 1609415421) 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) 1609415421
Entity Type Individual
Full Name MIKHAILA SAILOR
Other Name MIKHAILA LICHTENBERGER
Credential RD
Practice Address 7950 W Jefferson Blvd
Fort Wayne
IN 46804-4160
Mailing Address 3316 Caledon Pl
Fort Wayne
IN 46818-9136
Practice Telephone 2604357995
Mailing Telephone 2604942918
Enumeration Date 2019-12-26
Last Update Date 2019-12-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86078420 IN Dietary & Nutritional Service Providers

Office Location

Street Address 7950 W JEFFERSON BLVD
City FORT WAYNE
State IN
Zip Code 46804-4160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760486187 Heather J. Wolfe Pediatrics 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 2005-06-13
1831798354 Dorian Raymone Tate Nurse Anesthetist, Certified Registered 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-10-26
1528665585 Alexis Kate Felger Nurse Practitioner 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-10-02
1114534054 Mary Catherine Richter Specialist/Technologist, Other 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-09-24
1538778386 Lori Elizabeth Jackson Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-07-28
1831708965 Anna N. Kemler Nurse Practitioner 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-24
1699383307 David James Mansfield Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-07-20
1932726452 Joseph Egbert Registered Nurse 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2020-06-30
1245851872 Lauren Tirey Occupational Therapist 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 2020-05-05
1356988463 Alissa Lynn Clawson Nurse Anesthetist, Certified Registered 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2019-12-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

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
1366043002 Lauren Neuenschwander Dietitian, Registered 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 2020-11-07
1154981389 Rebecca Paden Dietitian, Registered 1315 Directors Row Ste 210, Fort Wayne, IN 46808-1284 2019-06-19
1821592221 Katherine Hake Dietitian, Registered 2220 Lima Plank Pkwy, Fort Wayne, IN 46818-8968 2018-03-20
1730533852 Charlene Ann Burian Dietitian, Registered 3213 Twisted Branch Pl, Fort Wayne, IN 46804-3436 2016-04-14
1164880746 Kandi Denise Dawson Dietitian, Registered 2520 E. Dupont Rd, Nutrition Services, Fort Wayne, IN 46825 2016-02-10
1437517083 Julie West Dietitian, Registered 2520 East Dupont Rd, Fort Wayne, IN 46825-1675 2016-02-10
1972968295 Alison Johnson Dietitian, Registered 1833 Midsummer Night Cv, Fort Wayne, IN 46818-8469 2015-12-31
1053776344 Tiane Bianski Dietitian, Registered 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 2015-12-31
1750623591 Courtney Rinehold Dietitian, Registered 1607 Glacier Ridge Rd, Fort Wayne, IN 46845-9720 2013-03-19
1346541562 Diane E Glass Dietitian, Registered 11141 Parkview Plaza Dr Ste 305b, Fort Wayne, IN 46845-1713 2010-11-04
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46804

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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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