BETHANY HERDER


Address: 1717 Shaffer St, Kalamazoo, MI 49048-1647
Phone: 2692265290

BETHANY HERDER (NPI# 1679831358) 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) 1679831358
Entity Type Individual
Full Name BETHANY HERDER
Credential RD
Practice Address 1717 Shaffer St
Kalamazoo
MI 49048-1647
Mailing Address 5943 Stadium Dr
Kalamazoo
MI 49009-3016
Practice Telephone 2692265290
Enumeration Date 2012-05-01
Last Update Date 2012-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 1717 SHAFFER ST
City KALAMAZOO
State MI
Zip Code 49048-1647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457353658 John A Carr Surgery 1717 Shaffer St, Kalamazoo, MI 49048-1647 2005-06-01
1114425279 Restorix Health Inc Nurse Practitioner 1717 Shaffer St, Kalamazoo, MI 49048-1647 2018-01-24
1073982104 Alexandra Rae Cook Dietitian, Registered 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048-1647 2015-09-18
1881026300 Amy Lynn Fedewa Dietitian, Registered 1717 Shaffer St, Kalamazoo, MI 49048-1647 2013-08-07
1104166909 Alexandra M Timpson Dietitian, Registered 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048-1647 2013-02-15
1992042295 Emelia C Hirschman Dietitian, Registered 1717 Shaffer St, Kalamazoo, MI 49048-1647 2013-01-08
1144575283 Adnan Kassier Internal Medicine 1717 Shaffer St, Kalamazoo, MI 49048-1647 2012-07-16
1629355813 Kelly Noel Becker Registered Nurse 1717 Shaffer St, Ste. 124, Kalamazoo, MI 49048-1647 2011-11-16
1730465584 Linda E Kline Nurse Practitioner 1717 Shaffer St, Kalamazoo, MI 49048-1647 2011-10-25
1598058455 Elmira Tulegenovna Yessengaliyeva Psychiatry & Neurology 1717 Shaffer St, Ste. 010, Kalamazoo, MI 49048-1647 2011-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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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
1861090771 Stephanie Spence Dietitian, Registered 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 2020-10-13
1689296246 Kristin Draayer Dietitian, Registered 724 Garland Cir Apt A, Kalamazoo, MI 49008-2461 2020-05-17
1548735335 Hannah Staples Dietitian, Registered 2044 Glendale Blvd, Kalamazoo, MI 49004-1715 2018-10-08
1063987014 Ellen Katherine Macalpine Dietitian, Registered 353 Lake Ridge Dr, Kalamazoo, MI 49006-4397 2018-10-05
1144795113 Taylor Rimpel Dietitian, Registered 5747 Sandalwood Dr Apt 3b, Kalamazoo, MI 49048-6623 2018-10-05
1083189278 Elizabeth Vermeulen Dietitian, Registered 4119 Valley Ridge Dr Apt 7, Kalamazoo, MI 49006-4048 2018-10-04
1225549330 Ann Thomas Lapoint Dietitian, Registered 601 John St # 27, Kalamazoo, MI 49007-5341 2017-10-16
1366970840 Danielle Elizabeth Fiskars-byers Dietitian, Registered 2961 Hunters Mdws, Kalamazoo, MI 49048-6126 2017-05-30
1780017384 Julia Anne Ridenour Dietitian, Registered 601 John St Ste W-308, Kalamazoo, MI 49007-5357 2013-08-19
1477825594 Susan Joyce Katz-scheinker Dietitian, Registered 5955 W Main Street, Kalamazoo, MI 49009 2012-02-06
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49048

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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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