MRS. MARLI JEAN CARLSON (NPI# 1851453351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851453351 |
| Entity Type | Individual |
| Full Name | MRS. MARLI JEAN CARLSON |
| Credential | RD, CDE |
| Practice Address |
100 Malton St Negaunee MI 49866-2001 |
| Mailing Address |
101 S 4th St Ishpeming MI 49849-2151 |
| Practice Telephone | 9064852118 |
| Mailing Telephone | 9064852118 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
MI | Dietary & Nutritional Service Providers | |
| Y | 133V00000X | Dietitian, Registered | 818424 | MI | Dietary & Nutritional Service Providers |
| Street Address |
100 MALTON ST |
| City | NEGAUNEE |
| State | MI |
| Zip Code | 49866-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154342442 | Patricia A Hill | Nurse Practitioner | 100 Malton St, Ste 7, Negaunee, MI 49866-2001 | 2006-07-21 |
| 1497817969 | Martinus Joeseph Lexmond | Specialist | 100 Malton St, Ste 1, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1083776553 | William C Humphrey | Specialist | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1235291766 | Kenneth W Hammerman | Specialist | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1821150327 | Judith Mestnik Gray | Physician Assistant | 100 Malton St, Ste 6, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1467514992 | Richard Cooley IIi | Specialist | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-14 |
| 1639230378 | Jeremy M Steele | Physician Assistant | 100 Malton St, Ste 4, Negaunee, MI 49866-2001 | 2006-12-13 |
| 1912068305 | Matthew Brandow | Specialist | 100 Malton St, Ste 7, Negaunee, MI 49866-2001 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352121 | David Levi Jylha | Custodial Care Facility | 225 County Rd 480, Negaunee, MI 49866 | 2018-07-06 |
| 1457874455 | Anne Marie Marshall | Counselor | 104 Malton Rd., Asc Great Lakes Recovery, Negaunee, MI 49866 | 2017-07-21 |
| 1114336286 | Jordan Jarvi | Physical Therapy Assistant | 600 Us Highway 41, Negaunee, MI 49866 | 2014-08-04 |
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1144408220 | Dan Whitley Collins | Dentist | 100 Croix Street, Negaunee, MI 49866 | 2008-01-31 |
| 1588705602 | Denise Evie Koehn | Nurse Practitioner | Marquette County Health Dept., 184 Hwy 41 East, Negaunee, MI 49866 | 2007-02-09 |
| 1659467744 | Sandra K Mccowen | Family Medicine | 100 Malton Rd., Negaunee, MI 49866 | 2006-10-05 |
| 1689680480 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 390 Us 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1568432342 | Professional Breathing Associates Inc | Prosthetic/Orthotic Supplier | 256 U.S. 41 East, Negaunee, MI 49866 | 2006-01-25 |
| Find all providers in zip 49866 | ||||
| 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 |
|---|---|---|---|---|
| 1871103341 | Camille Wachholz | Dietitian, Registered | 600 Us Highway 41, Negaunee, MI 49866-1017 | 2020-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850011 | Timothy Matthews | Dietitian, Registered | 5057 Jeddo Rd, Grant Township, MI 48032-1402 | 2020-10-31 |
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1497354823 | Carrie Elizabeth Couretas | Dietitian, Registered | 469 W Baker Ave, Clawson, MI 48017-1535 | 2020-10-17 |
| 1881292506 | Meghan Kathleen Pendleton | Dietitian, Registered | 26025 Pillsbury St, Farmington Hills, MI 48334-4345 | 2020-10-14 |
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1942817580 | Nourished Living LLC | Dietitian, Registered | 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 | 2020-09-28 |
| 1396352225 | Elizabeth Ferrall Consulting LLC | Dietitian, Registered | 10200 17 Mile Rd, Marshall, MI 49068-9797 | 2020-09-24 |
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.