MS. KERI LYNN PANGBORN (NPI# 1619316791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619316791 |
| Entity Type | Individual |
| Full Name | MS. KERI LYNN PANGBORN |
| Credential | R.D. |
| Practice Address |
210 S First St Harbor Beach MI 48441 |
| Mailing Address |
275 Church Rd Filion MI 48432-9781 |
| Practice Telephone | 9894793201 |
| Mailing Telephone | 9894508555 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1015699 | MI | Dietary & Nutritional Service Providers |
| Street Address |
210 S FIRST ST |
| City | HARBOR BEACH |
| State | MI |
| Zip Code | 48441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1063690915 | James F Hirn | Dentist | 227 N 4th Street, Harbor Beach, MI 48441 | 2008-02-02 |
| 1215263272 | Myrna Lavasseur | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2009-10-27 |
| 1295732956 | Concerned Home Care Inc | Home Health | 136 N First St, Harbor Beach, MI 48441-1101 | 2005-07-07 |
| 1285021253 | Rhonda Lynn Dennis | Social Worker | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2015-04-17 |
| 1114314184 | Elizabeth Ann Howison | Social Worker | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2015-04-17 |
| 1598167983 | Elen Abegail Ragudos | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2014-09-17 |
| 1780954438 | Camille Eusebio | Physical Therapist | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2012-01-11 |
| 1376870030 | Candice Pauline Rivera-tenerife | Registered Nurse | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2009-11-17 |
| 1154658813 | Rene Nanquil Tenerife | Registered Nurse | 136 N 1st St, Harbor Beach, MI 48441-1101 | 2009-11-17 |
| Find all providers in zip 48441 | ||||
| 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 |
|---|---|---|---|---|
| 1447850011 | Timothy Matthews | Dietitian, Registered | 5057 Jeddo Rd, Grant Township, MI 48032-1402 | 2020-10-31 |
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1497354823 | Carrie Elizabeth Couretas | Dietitian, Registered | 469 W Baker Ave, Clawson, MI 48017-1535 | 2020-10-17 |
| 1881292506 | Meghan Kathleen Pendleton | Dietitian, Registered | 26025 Pillsbury St, Farmington Hills, MI 48334-4345 | 2020-10-14 |
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1942817580 | Nourished Living LLC | Dietitian, Registered | 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 | 2020-09-28 |
| 1396352225 | Elizabeth Ferrall Consulting LLC | Dietitian, Registered | 10200 17 Mile Rd, Marshall, MI 49068-9797 | 2020-09-24 |
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR BEACH |
| Zip Code | 48441 |
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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.