STEPHANIE LYNN MUMBY (NPI# 1780282442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780282442 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN MUMBY |
| Credential | RDN |
| Practice Address |
500 Hancock St Saginaw MI 48602-4224 |
| Practice Telephone | 9897973400 |
| Practice Fax Number | 9897990206 |
| Mailing Telephone | 9897973400 |
| Mailing Fax Number | 9897990206 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
500 HANCOCK ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313435 | Genoa Healthcare LLC | Durable Medical Equipment & Medical Supplies | 500 Hancock St, Ste 100, Saginaw, MI 48602-4224 | 2006-06-13 |
| 1639779911 | Samantha Erin Tenut | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-27 |
| 1417556663 | Daysha Reese | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-10-20 |
| 1790302255 | Tellis Colt Donajkowski | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-07-01 |
| 1609493485 | Rosa L Davis | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-29 |
| 1124642301 | Jessica Gayle Szikszay | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-06-03 |
| 1912528407 | Treasa Linsay Ross | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-06 |
| 1174144836 | Alexandria Sharon | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| 1548881212 | Marie E Berg | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-05-04 |
| 1881220051 | Teresa L Dominique Nicholson | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2020-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| 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 |
|---|---|---|---|---|
| 1629578844 | Taylor Anne Schomaker | Dietitian, Registered | 1103 Leddy Road, Saginaw, MI 48609 | 2018-02-14 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1346571064 | Kids In Need of Dietary Services, LLC | Dietitian, Registered | 912 Commonwealth Court, Saginaw, TX 76179 | 2010-01-20 |
| 1770721086 | Carrie Mcmahon | Dietitian, Registered | 800 S.washington Ave., St.mary's of Michigan, Saginaw, MI 48601-2524 | 2009-01-23 |
| 1023100278 | Jennifer Pierce | Dietitian, Registered | 1500 Weiss St., Saginaw, MI 48602 | 2006-09-28 |
| 1760008056 | Jiaying Li | Dietitian, Registered | 3200 State St, Saginaw, MI 48602-3475 | 2020-06-22 |
| 1598393290 | Lauren Gable | Dietitian, Registered | 3200 State St, Saginaw, MI 48602-3475 | 2020-03-29 |
| 1588223192 | Nina Vanpoppelen | Dietitian, Registered | 1500 Weiss St, Saginaw, MI 48602-5251 | 2019-06-07 |
| 1154980795 | Andrea Hess | Dietitian, Registered | 1500 Weiss St, Saginaw, MI 48602-5251 | 2019-06-07 |
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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.