MS. KRISTINE L GODBOLD (NPI# 1932474566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932474566 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE L GODBOLD |
| Credential | R.D. |
| Practice Address |
7900 Kercheval St Detroit MI 48214-2439 |
| Mailing Address |
13901 E Jefferson Ave Detroit MI 48215-2720 |
| Practice Telephone | 3139215500 |
| Mailing Telephone | 3139215500 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 883716 | MI | Dietary & Nutritional Service Providers |
| Street Address |
7900 KERCHEVAL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627026 | Knight Drugs East Seven Mile, Inc. | Pharmacy | 7900 Kercheval St, #131, Detroit, MI 48214-2439 | 2005-08-26 |
| 1114373545 | Detroit Community Health Connection Pharmacy | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2016-05-04 |
| 1669813366 | Frances Adams | Dental Hygienist | 7900 Kercheval St, Detroit, MI 48214-2439 | 2013-07-10 |
| 1457624652 | Detroit Community Health Connection, Inc. | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2012-02-17 |
| 1366772717 | Kausar Rahman | Dentist | 7900 Kercheval St, Detroit, MI 48214-2439 | 2010-01-07 |
| 1679737480 | Detroit Community Health Connection | Pharmacy | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-11 |
| 1275796468 | Detroit Community Health Connection, Inc | Clinic/Center | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-08 |
| 1982634119 | Gouri Ramesh | Pediatrics | 7900 Kercheval St, Detroit, MI 48214-2439 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| 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 |
|---|---|---|---|---|
| 1871138636 | Nancy Park | Dietitian, Registered | 1 Ford Pl # 5c, Detroit, MI 48202-3450 | 2019-11-15 |
| 1215581137 | Alyson Mcadams | Dietitian, Registered | 1000 Van Dyke St Apt 203, Detroit, MI 48214-2487 | 2019-07-29 |
| 1396288288 | Dawn Vergin | Dietitian, Registered | 22151 Moross Rd Ste 135, Detroit, MI 48236-2165 | 2016-11-23 |
| 1902286305 | Anjail Askew-ansari | Dietitian, Registered | 19136 Mendota St, Detroit, MI 48221-3216 | 2015-06-02 |
| 1356684815 | Hayward S Penny | Dietitian, Registered | 58 Parsons St, Detroit, MI 48201 | 2013-04-03 |
| 1881975506 | Julie L Fromm | Dietitian, Registered | 5254 Anthony Wayne Dr, Detroit, MI 48202-3924 | 2011-09-08 |
| 1295967834 | Kimberly Patrice Jones | Dietitian, Registered | 18641 Margareta St, Detroit, MI 48219-2930 | 2009-08-16 |
| 1457503690 | Jeanette Roger | Dietitian, Registered | 1151 Taylor St Dept Of, Nutrition Department - 2c, Detroit, MI 48202-1732 | 2008-10-21 |
| 1770741795 | Suzanne Scherer Burns | Dietitian, Registered | 15801 W Mcnichols Rd, Detroit, MI 48235-3543 | 2008-05-27 |
| 1437279627 | Pamela Kay Milan | Dietitian, Registered | 1 Ford Pl # 3a, Detroit, MI 48202-3450 | 2007-03-30 |
| Find all providers in DETROIT | ||||
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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.