SOPHIA ANNE ELENA CONDIC (NPI# 1871114520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871114520 |
Entity Type | Individual |
Full Name | SOPHIA ANNE ELENA CONDIC |
Credential | RDN |
Practice Address |
1120 Dolliver Dr Rochester Hills MI 48306-3920 |
Practice Telephone | 2484214783 |
Mailing Telephone | 2484214783 |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-05-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 86068717 | MI | Dietary & Nutritional Service Providers |
Street Address |
1120 DOLLIVER DR |
City | ROCHESTER HILLS |
State | MI |
Zip Code | 48306-3920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
Find all providers in zip 48306 |
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 |
---|---|---|---|---|
1336765627 | Taylor Booher | Dietitian, Registered | 603 Dorchester Dr Apt 112, Rochester Hills, MI 48307-4024 | 2020-06-22 |
1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
1508316746 | Mary Catherine Highfield | Dietitian, Registered | 424 La Porte Ct, Rochester Hills, MI 48307 | 2016-10-12 |
1578707279 | Latrice Renee Banks | Dietitian, Registered | 845 Crispin, Rochester Hills, MI 48307-2467 | 2009-04-24 |
1588727739 | Jennifer D Elkins | Dietitian, Registered | 1681 E Auburn Rd Ste E, Rochester Hills, MI 48307-5583 | 2006-12-19 |
1962011395 | Taylor Wilcox | Dietitian, Registered | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2020-07-31 |
1881236230 | Amanda Hoelzle | Dietitian, Registered | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2019-10-16 |
1013483999 | Megan Husek | Dietitian, Registered | 1555 South Blvd E Ste 360, Rochester Hills, MI 48307-5759 | 2018-10-18 |
1982170825 | Angela Walt | Dietitian, Registered | 1555 South Blvd E Ste 360, Rochester Hills, MI 48307-5759 | 2018-10-18 |
1679872592 | Melinda L Blesch | Dietitian, Registered | 1701 South Blvd E, Suite 290, Rochester Hills, MI 48307-6122 | 2011-03-17 |
Find all providers in ROCHESTER HILLS |
City | ROCHESTER HILLS |
Zip Code | 48306 |
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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.