MRS. DIANE ROACH (NPI# 1952552580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952552580 |
| Entity Type | Individual |
| Full Name | MRS. DIANE ROACH |
| Credential | R.D. |
| Practice Address |
550 Munson Ave Munson Community Health Center Nutrition Counseling Traverse City MI 49686-3580 |
| Mailing Address |
1105 Sixth St Munson Medical Center Food & Nutrition Services Traverse City MI 49684-2345 |
| Practice Telephone | 2319358451 |
| Mailing Telephone | 2319356939 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 599542 | MI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962740076 | Diane Roach | Social Worker | 309 Madison St Ste 7, Westbury, NY 11590-3248 | 2013-01-24 |
| 1902846876 | Diane Roach | Advanced Practice Midwife | 3440 Burnett Ave., Ste. 120, Cincinnati, OH 45229-2833 | 2006-06-07 |
| 1831495365 | Diane Beth Roach | Clinical Nurse Specialist | 400 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1951 | 2011-02-01 |
| Street Address |
550 MUNSON AVE MUNSON COMMUNITY HEALTH CENTER NUTRITION COUNSELING |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839131 | William H. George | Internal Medicine | 550 Munson Ave, Traverse City, MI 49686 | 2005-05-24 |
| 1265054936 | Erynne Louise Russell | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-05-15 |
| 1821624545 | Susan Carol Spencer | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-03-13 |
| 1346807617 | Mary Priestly | Physician Assistant | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-22 |
| 1194380493 | Kimberly A Chandler | Health Educator | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-02 |
| 1942770946 | Caroline Kiley | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1851861850 | Grace Blankenhagen | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1316429863 | Elizabeth Marie Teklinski | Counselor | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-08-31 |
| 1326544230 | Kaitlyn Troutman | Nurse Practitioner | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-04-02 |
| 1598267254 | Teresa Lynn Hearne | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265089361 | Lacy Marie Amor | Dietitian, Registered | 766 Indian Trail Blvd, Traverse City, MI 49686-3567 | 2019-08-22 |
| 1396160388 | Grand Traverse Nutrition, LLC | Dietitian, Registered | 800 Cottageview Dr, Suite 1076, Traverse City, MI 49684-2616 | 2014-02-27 |
| 1790844835 | Sandra Mcsweeney | Dietitian, Registered | 5015 N Royal Dr Suite B, Traverse City, MI 49684 | 2006-12-06 |
| 1619532900 | Brittany Miller | Dietitian, Registered | 1105 Sixth St, Traverse City, MI 49684-2345 | 2019-05-02 |
| 1407324601 | Amy Rasmussen | Dietitian, Registered | 4020 Copper Vw Ste 104, Traverse City, MI 49684-7041 | 2018-11-06 |
| 1417432444 | Melissa Ann Goodchild | Dietitian, Registered | 1105 Sixth St, Traverse City, MI 49684-2345 | 2018-09-25 |
| 1972030864 | Chelsea Renell Fitzpatrick | Dietitian, Registered | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2017-05-22 |
| 1982056776 | Emilie Klemptner | Dietitian, Registered | 1105 Sixth St, Traverse City, MI 49684-2349 | 2016-07-06 |
| 1427402775 | Laura Mccain | Dietitian, Registered | 1105 Sixth St, Munson Medical Center, Food & Nutrition, Traverse City, MI 49684-2349 | 2016-04-22 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.