MS. STEPHANIE MARIE CARTER (NPI# 1639685191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639685191 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MARIE CARTER |
| Credential | NDTR,CDM, CFPP, CPT |
| Practice Address |
18501 W 10 Mile Rd Southfield MI 48075-2663 |
| Practice Telephone | 3134928446 |
| Practice Fax Number | 2482007968 |
| Mailing Telephone | 3134928446 |
| Mailing Fax Number | 2482007968 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 132700000X | Dietary Manager | 202214 | MI | Dietary & Nutritional Service Providers |
| Y | 136A00000X | Dietetic Technician, Registered | 945321 | MI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1841734506 | Stephanie Carter | Massage Therapist | 6347 E Brainerd Rd Ste B, Chattanooga, TN 37421-3977 | 2016-12-14 |
| 1619226545 | Stephanie Paige Carter | Student in an Organized Health Care Education/Training Program | 3341 Wedgewood Drive, Augusta, GA 30909 | 2012-09-06 |
| 1033303094 | Stephanie Neesen Carter | Social Worker | 218 River Rd, Unionville, CT 06085-1098 | 2007-09-04 |
| 1255544656 | Stephanie Charlene Carter | Registered Nurse | 29200 Schoolcraft Road, Livonia, MI 48187 | 2007-05-08 |
| 1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
| 1548872195 | Stephanie Carter | Behavior Technician | 17335 Pagonia Rd Ste 109, Clermont, FL 34711-6011 | 2020-08-17 |
| 1124590971 | Stephanie Carter | Social Worker | 12835 Pointe Del Mar Way Ste 1, Del Mar, CA 92014-3846 | 2018-12-18 |
| 1194234443 | Stephanie Marie Carter | Speech-Language Pathologist | 4725 Merle Hay Rd Ste 107, Des Moines, IA 50322-1983 | 2017-09-28 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| Street Address |
18501 W 10 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743006 | Jacqueline Odette | Dietetic Technician, Registered | 2328 N Thomas Rd, Fairgrove, MI 48733-9569 | 2020-08-31 |
| 1750923736 | Erica Pilcher | Dietetic Technician, Registered | 5656 Parshall Dr, Shelby Township, MI 48316-3267 | 2019-10-11 |
| 1336215813 | Amy S. Patterson | Dietetic Technician, Registered | 2700 Robert T. Longway Blvd., Suite G, Flint, MI 48503-5902 | 2006-11-28 |
| 1649471095 | Whitney A. Vieu | Dietetic Technician, Registered | 2700 Robert T Longway Blvd, Suite G, Flint, MI 48503-2190 | 2007-05-31 |
| 1851467336 | Becky K. Dunn | Dietetic Technician, Registered | 2700 Robert T. Longway Blvd., Suite G, Flint, MI 48503-5902 | 2006-11-28 |
| 1508878539 | Ricki Joseph Gerlach | Dietetic Technician, Registered | 4646 John R St, Outpatient Pharmacy 118cp, Detroit, MI 48201-1916 | 2006-08-11 |
| 1144256967 | Hurley Medical Center | Dietetic Technician, Registered | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-06-23 |
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.