KATHERINE TYRRELL (NPI# 1700052438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700052438 |
Entity Type | Individual |
Full Name | KATHERINE TYRRELL |
Credential | RD |
Practice Address |
58144 Gratiot Ave New Haven MI 48048 |
Mailing Address |
555 Saint Clair River Dr Algonac MI 48001-1802 |
Practice Telephone | 8107944982 |
Practice Fax Number | 8107944407 |
Mailing Telephone | 8107944982 |
Mailing Fax Number | 8107944407 |
Enumeration Date | 2008-05-02 |
Last Update Date | 2008-05-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 988928 | MI | Dietary & Nutritional Service Providers |
Street Address |
58144 GRATIOT AVE |
City | NEW HAVEN |
State | MI |
Zip Code | 48048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659352409 | Kimberly H Thompson | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2005-11-09 |
1770138398 | Corey Soper | Social Worker | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-08-09 |
1285293837 | Rachael Vernon | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2019-06-07 |
1386135879 | Alisa Puvalowski | Dental Hygienist | 58144 Gratiot Ave, New Haven, MI 48048 | 2018-05-21 |
1013448067 | Aaron William Cloutier | Family Medicine | 58144 Gratiot Ave, New Haven, MI 48048 | 2017-03-22 |
1750757282 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Ave, New Haven, MI 48048 | 2015-08-19 |
1689085268 | Downriver Community Services, Inc. | Obstetrics & Gynecology | 58144 Gratiot Ave, New Haven, MI 48048 | 2014-05-16 |
1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
1265628291 | Yax & Stec Dental Associates, Pllc | Dentist | 58144 Gratiot Ave, Suite 316, New Haven, MI 48048 | 2007-09-24 |
1740473362 | Kimberly Irene Vogel | Dentist | 58144 Gratiot Ave, New Haven, MI 48048 | 2007-08-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255847893 | Heather Fonville | Licensed Practical Nurse | 3201 E. Cranston, New Haven, MI 48048 | 2017-12-19 |
1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
1679773659 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-19 |
1588761506 | Charles Joseph Sobers | Dentist | 58144 Gratiot, Suite #316, New Haven, MI 48048 | 2006-09-20 |
1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
1295985802 | Chandra Lowe | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2008-09-19 |
1427248038 | Early Solution Clinic | Clinic/Center | 36865 26 Mile Rd, Lenox, MI 48048 | 2007-07-30 |
1952502569 | Debra Smith | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2007-05-30 |
1336246792 | Virginia Hartner | Registered Nurse | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
1932206398 | Doreen Mccomas | Social Worker | 58144 Gratiot Avenue, New Haven, MI 48048 | 2006-09-20 |
Find all providers in zip 48048 |
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 |
---|---|---|---|---|
1164043915 | Jessica Ann Iannotta | Dietitian, Registered | 300 Orchard St Rm E2100, New Haven, CT 06511-4412 | 2020-05-04 |
1467916767 | Julia Boegel Werth | Dietitian, Registered | 189 Bradley St # 1, New Haven, CT 06511-6203 | 2019-01-31 |
1720538796 | Julia Yuskavage | Dietitian, Registered | 321 Whitney Ave, New Haven, CT 06511-3716 | 2016-10-13 |
1730538695 | Nicole Hermosilla | Dietitian, Registered | 20 York Street Food and Nutrition, Epb806, New Haven, CT 06510-3220 | 2016-06-10 |
1891160420 | Dana Lacroix | Dietitian, Registered | 20 York St Food and Nutrition Epb806, New Haven, CT 06510 | 2015-12-08 |
1457742207 | Margaret Elizabeth Holden | Dietitian, Registered | 255 Cooper Pl, New Haven, CT 06515-1804 | 2015-02-16 |
1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
1932106614 | Mary Maloy | Dietitian, Registered | 400 Mansfield St, New Haven, CT 06511-2023 | 2005-07-07 |
1699319871 | Chiara Jorritsma | Dietitian, Registered | 20 York St, New Haven, CT 06510-3220 | 2019-10-31 |
1841844776 | New England Nutrition LLC | Dietitian, Registered | 157 Church St Fl 19, New Haven, CT 06510-2100 | 2019-07-29 |
Find all providers in NEW HAVEN |
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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.