MRS. SHANNON MARIE TOKARSKI (NPI# 1962625012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625012 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MARIE TOKARSKI |
| Other Name | SHANNON BLOODWORTH |
| Credential | MS, RD |
| Practice Address |
27483 Dequindre Rd Ste 204 Madison Heights MI 48071-5711 |
| Mailing Address |
31214 Kenwood Ave Madison Heights MI 48071-1082 |
| Practice Telephone | 2489677428 |
| Mailing Telephone | 5868234577 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 925835 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14049 E 13 Mile Rd, Suite 6, Warren, MI 480885876 | 5862944820 | 5862947881 |
| Street Address |
27483 DEQUINDRE RD STE 204 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383840 | Angela Harden-mack | Family Medicine | 27483 Dequindre Rd Ste 204, Madison Heights, MI 48071-5711 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.