JILL NICHOLE DAVIS (NPI# 1689845125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689845125 |
| Entity Type | Individual |
| Full Name | JILL NICHOLE DAVIS |
| Credential | R.D. |
| Practice Address |
611 Cascade West Pkwy Se Grand Rapids MI 49546-2107 |
| Mailing Address |
4986 N Adams Rd Suite E Rochester MI 48306-5017 |
| Practice Telephone | 2484754880 |
| Mailing Telephone | 2484754880 |
| Mailing Fax Number | 2484754881 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 945341 | MI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710489216 | Jill Anne Davis | Specialist/Technologist | 290 Bolton Cir, West, TX 76691-2286 | 2018-03-01 |
| 1588056527 | Jill Davis | Social Worker | 7738 Horse Ferry Rd, Orlando, FL 32835-5965 | 2015-02-27 |
| 1851703763 | Jill Davis | Behavioral Analyst | 902-d Merritt Dr, Hillsborough, NJ 08844 | 2014-05-27 |
| 1619217726 | Jill Christine Davis | Licensed Practical Nurse | 24 Conkey Ave # 26, Box 126, Norwich, NY 13815-1774 | 2013-02-26 |
| 1699009373 | Jill Le Ann Davis | Registered Nurse | 6620 Paul Rd, Westerville, OH 43082-9031 | 2009-09-28 |
| 1871722439 | Jill Danae Davis | Counselor | 723 South I-35 E, Suite 110, Denton, TX 76205 | 2009-07-03 |
| 1427203637 | Jill R Davis | Occupational Therapist | 379 Klocks Corners Rd, Oswego, NY 13126-6141 | 2008-12-02 |
| 1376798827 | Jill Davis | Contractor | 222 W 83rd St, #5c, New York, NY 10024-4909 | 2008-11-25 |
| 1619033446 | Jill Davis | Physician Assistant | Dumc 3158, Durham, NC 27710-0001 | 2006-12-28 |
| 1376150789 | Jill Davis | Counselor | 100 Thomas Heights Rd Ste 206, Franklin, NC 28734-9799 | 2020-09-29 |
| Street Address |
611 CASCADE WEST PKWY SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609035831 | Ryan Romayne Meyers | Social Worker | 611 Cascade West Pkwy Se, Grand Rapids, MI 49546-2107 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1316575988 | Sarah Flessner | Dietitian, Registered | 100 Michigan St Ne # Mc84, Grand Rapids, MI 49503-2560 | 2020-03-30 |
| 1790311025 | Mitchell Paul Mrozik | Dietitian, Registered | 3308 Statesman Ct Ne, Grand Rapids, MI 49525-2685 | 2020-03-18 |
| 1881224665 | Darleena Scholten | Dietitian, Registered | 4520 Bonneville Dr Ne, Grand Rapids, MI 49525-1315 | 2020-01-22 |
| 1306320577 | Elizabeth Ames Eggleston | Dietitian, Registered | 7508 Whispering Ridge St Se, Grand Rapids, MI 49546-9168 | 2018-09-24 |
| 1457706707 | Patricia Ann Tucker | Dietitian, Registered | 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 | 2016-04-24 |
| 1477911352 | Rachel Laughlin | Dietitian, Registered | 4201 Kings Row Ct Nw, Grand Rapids, MI 49534-3495 | 2016-02-05 |
| 1922483809 | Stacey Niesen | Dietitian, Registered | 2215 44th St Se, Grand Rapids, MI 49508-5013 | 2015-07-21 |
| 1174944888 | Laura Brechting | Dietitian, Registered | 4 Union Ave Ne, Grand Rapids, MI 49503-3430 | 2013-12-23 |
| 1154769941 | Nancy Ann Ullrey | Dietitian, Registered | 3596 Tricklewood Dr Se, Grand Rapids, MI 49546-7246 | 2013-06-13 |
| 1104173251 | Denise Lynn Kesterke | Dietitian, Registered | 1450 Fulton St E, Grand Rapids, MI 49503-3854 | 2012-08-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.