KATHERINE TYRRELL


Address: 58144 Gratiot Ave, New Haven, MI 48048
Phone: 8107944982

KATHERINE TYRRELL (NPI# 1700052438) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 988928 MI Dietary & Nutritional Service Providers

Office Location

Street Address 58144 GRATIOT AVE
City NEW HAVEN
State MI
Zip Code 48048

Providers in the same location

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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Providers in the same zip code

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
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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
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

Competitor

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City NEW HAVEN
Zip Code 48048

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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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