MS. KAREN KRAUSE KOEPPE (NPI# 1942414701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942414701 |
| Entity Type | Individual |
| Full Name | MS. KAREN KRAUSE KOEPPE |
| Credential | R.D. |
| Practice Address |
3174 Packard St Ann Arbor MI 48108-1947 |
| Mailing Address |
2180 Steeplechase Dr Ann Arbor MI 48103-6033 |
| Practice Telephone | 7349711073 |
| Practice Fax Number | 7349718545 |
| Mailing Telephone | 7349951852 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| 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 |
3174 PACKARD ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124085972 | Carisalyn Nicole Cousin | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2006-04-26 |
| 1467069492 | Corey Telin | Social Worker | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2020-09-24 |
| 1487175048 | Grace Kelley | Registered Nurse | 3174 Packard St, Ann Arbor, MI 48108 | 2017-07-03 |
| 1174050694 | Elizabeth Annette Patterson | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2017-05-15 |
| 1922491760 | Packard Health, Inc. | Clinic/Center | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2015-03-17 |
| 1609216795 | Angie L. Wang | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2013-07-03 |
| 1700137528 | Kari M Bail | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-09-20 |
| 1982970380 | Ronald Romero | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-03-29 |
| 1225304272 | Victoria Jean Nichols | Family Medicine | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-03-23 |
| 1710250477 | Meaghan Cotter | Registered Nurse | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2012-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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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 |
|---|---|---|---|---|
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1760096523 | Andrea Wotan | Dietitian, Registered | 900 Patricia Ave, Ann Arbor, MI 48103-2634 | 2020-08-31 |
| 1932718970 | Erin Elizabeth Zettell | Dietitian, Registered | 329 Doty Ave, Ann Arbor, MI 48103-3577 | 2020-07-27 |
| 1710502471 | Amie Leah Ritchie | Dietitian, Registered | 60 Luella Ave, Ann Arbor, MI 48103-1836 | 2020-06-09 |
| 1740805514 | Anna Nicole Jones | Dietitian, Registered | 223 Fieldcrest St, Ann Arbor, MI 48103-6417 | 2020-06-08 |
| 1750901427 | Sarah Levitre Godfrey | Dietitian, Registered | 3624 Partridge Path Apt 3, Ann Arbor, MI 48108-2437 | 2020-04-22 |
| 1891352571 | Kellie Hallaron | Dietitian, Registered | 101 W. Liberty Street, Suite 360, Suite 360, Ann Arbor, MI 48104-4810 | 2019-05-29 |
| 1427523588 | Sandra D. Pernecky | Dietitian, Registered | 630 Archwood Dr, Ann Arbor, MI 48103-2807 | 2018-10-04 |
| 1023518313 | Mary Balog | Dietitian, Registered | 116 Allen Dr, Ann Arbor, MI 48103-4002 | 2018-02-14 |
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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.