KELLY NOHL (NPI# 1962975268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962975268 |
| Entity Type | Individual |
| Full Name | KELLY NOHL |
| Credential | RDN |
| Practice Address |
39450 W 12 Mile Rd Novi MI 48377-3600 |
| Mailing Address |
1 Ford Pl Detroit MI 48202-3450 |
| Practice Telephone | 3138743095 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Ford Pl, Detroit, MI 482023450 | 3138743095 | |
| 7800 W Outer Dr, Detroit, MI 482353461 | 3138743095 |
| Street Address |
39450 W 12 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801994512 | Heather Heilman | Social Worker | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2006-09-20 |
| 1750926846 | Bryce Alexander Groshek | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-11-12 |
| 1285121376 | Michele A Zubalik | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-04-16 |
| 1295230944 | Rebecca Lynn Knodel | Occupational Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-26 |
| 1275036709 | David Tomsich | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1760985170 | Ashley Nebel | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1750883104 | Melissa Joy Simon | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-01 |
| 1891297404 | Michelle Louise Thibodeau | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-02-28 |
| 1609384569 | Alexandrina Berghian | Nurse Practitioner | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-01-12 |
| 1295103018 | Nagham Karana | Pharmacist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2015-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| 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 |
|---|---|---|---|---|
| 1225651532 | Natalie Boschan Baum | Dietitian, Registered | 25693 Shoreline Dr, Novi, MI 48374-2169 | 2020-05-20 |
| 1902427420 | Kristy Stevenson | Dietitian, Registered | 47601 Grand River Ave Ste B136, Novi, MI 48374-1233 | 2020-05-06 |
| 1639703135 | Dina Angela Tallman | Dietitian, Registered | 156 Penhill St, Novi, MI 48377-1355 | 2020-02-24 |
| 1669988614 | Michelle Cote | Dietitian, Registered | 27275 Haggerty Rd, Novi, MI 48377-3633 | 2017-12-28 |
| 1114476678 | Meredith Ann Simcox | Dietitian, Registered | 51014 Almafi Ct, Novi, MI 48374-3323 | 2016-09-26 |
| 1104291400 | Deanna Denny | Dietitian, Registered | 23455 Haggerty Rd, Novi, MI 48375-3726 | 2015-12-11 |
| 1033495668 | Mary Farrell Gutmann | Dietitian, Registered | 24230 Karim Boulevard, Suite 130, Novi, MI 48375-2953 | 2011-10-27 |
| 1043783483 | Kelly Golladay | Dietitian, Registered | 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 | 2019-01-08 |
| 1700396868 | Farrah Thwainey | Dietitian, Registered | 30880 Beck Rd, Novi, MI 48377-1000 | 2017-10-03 |
| 1578921441 | Jill Gettle | Dietitian, Registered | 28455 Haggerty Rd, Suite 102, Novi, MI 48377-2982 | 2016-02-05 |
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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.