CHRISTINE BANNAN (NPI# 1750756409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750756409 |
| Entity Type | Individual |
| Full Name | CHRISTINE BANNAN |
| Credential | R.D. |
| Practice Address |
420 W 5th Ave Flint MI 48503-2445 |
| Mailing Address |
10766 Henderson Rd Corunna MI 48817-9791 |
| Practice Telephone | 8102573736 |
| Mailing Telephone | 9897211009 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
420 W 5TH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115460 | County of Genesee Office of Controller | Preventive Medicine | 420 W 5th Ave, Flint, MI 48503 | 2005-12-20 |
| 1245837640 | Angela Marie Strom | Registered Nurse | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1841897246 | Avalena Ann Lessard | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1891309258 | Dawn Michelle Smith | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-09-03 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1811515018 | Tashara Monique Ewing | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-14 |
| 1265053508 | Kaleea Preuss-harper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-04-28 |
| 1285269969 | Richard L Neenan IIi | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-03-03 |
| 1518590405 | Erik Kahn | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-02-19 |
| 1346870961 | Lanora Cooper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| 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 |
|---|---|---|---|---|
| 1104475979 | Rebecca Slick | Dietitian, Registered | 6140 Rashelle Dr, Flint, MI 48507-3936 | 2019-09-05 |
| 1699375097 | Elizabeth M Mccreedy | Dietitian, Registered | 6140 Rashelle Dr, Flint, MI 48507-3936 | 2020-10-27 |
| 1851874531 | Hurley Medical Center | Dietitian, Registered | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2018-09-10 |
| 1720595143 | Emily Gideon | Dietitian, Registered | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-01-08 |
| 1780191064 | Kathryn Thrushman | Dietitian, Registered | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-01-08 |
| 1154846830 | Mcquetta D Miller | Dietitian, Registered | 420 W 5th Ave, Flint, MI 48503-2445 | 2017-08-03 |
| 1346772282 | Karly Caudell | Dietitian, Registered | 2425 S Linden Rd, Flint, MI 48532-5473 | 2017-03-30 |
| 1780120881 | Amanda Leddy | Dietitian, Registered | 1 Hurley Plz, Attn: Professional Billing Dept, Flint, MI 48503-5902 | 2017-01-12 |
| 1750764080 | Susan Cooper | Dietitian, Registered | 4800 S Saginaw St, Flint, MI 48507 | 2015-07-06 |
| 1902224165 | Ashley Hilbert | Dietitian, Registered | 1 Hurley Plz, 3w, Flint, MI 48503-5902 | 2014-04-03 |
| Find all providers in FLINT | ||||
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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.