MRS. KATHRYN MARIE RUSSELL (NPI# 1104297555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104297555 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN MARIE RUSSELL |
| Credential | M.S., R.D.N. |
| Practice Address |
2543 Woodmont Dr E Canton MI 48188 |
| Practice Telephone | 7346357771 |
| Mailing Telephone | 7346357771 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
| 1902149800 | Kathryn Nikole Russell | Nurse Practitioner | 3900 New Covington Pike Ste 112, Memphis, TN 38128-2526 | 2013-03-29 |
| 1184950313 | Kathryn Joy Russell | Dermatology | 2235 Venetian Court Suite 1, Naples, FL 34109 | 2009-10-22 |
| 1720188790 | Kathryn Jane Russell | Marriage & Family Therapist | 5029 Lamart Dr, #6, Riverside, CA 92507-0605 | 2006-09-22 |
| 1255974887 | Kathryn Russell | Specialist/Technologist | 415 Columbia Rd, Colorado Springs, CO 80904-1307 | 2019-10-27 |
| 1881160315 | Kathryn Anne Russell | Specialist/Technologist | 6200 College Ave, Snyder, TX 79549-6189 | 2018-10-23 |
| 1568940377 | Kathryn Russell | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132 | 2018-08-02 |
| 1447551114 | Kathryn Renee-smith Russell | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-11-10 |
| 1750518049 | Kathryn White Russell | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 | 2009-06-15 |
| Street Address |
2543 WOODMONT DR E |
| City | CANTON |
| State | MI |
| Zip Code | 48188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| 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 |
|---|---|---|---|---|
| 1649884677 | Nicole Bruno | Dietitian, Registered | 175 Albany Dr Nw, Canton, OH 44708-5019 | 2020-09-08 |
| 1942825039 | Stephanie Young | Dietitian, Registered | 332 Mountain Laurel Walk, Canton, GA 30114-5747 | 2020-06-15 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1710459227 | Hunter Bahre | Dietitian, Registered | 220 Albany Tpke Unit 1, Canton, CT 06019-7000 | 2018-12-21 |
| 1760953608 | Ellsworth Smith | Dietitian, Registered | 347 Aultman Ave Nw, Canton, OH 44708-5526 | 2018-12-17 |
| 1144796012 | Jessica Helmick | Dietitian, Registered | 6300 N Haggerty Rd Ste 100, Canton, MI 48187-4472 | 2018-10-18 |
| 1679009583 | Cynthia Erickson | Dietitian, Registered | 44223 Sheridan St, Canton, MI 48187-1925 | 2017-05-11 |
| 1134662232 | Claudia Nouhan | Dietitian, Registered | 4452 Hunters Cir E, Canton, MI 48188-2357 | 2016-11-22 |
| 1134582778 | Nutrition To The Max LLC | Dietitian, Registered | 4639 Timberline Dr, Canton, MI 48188-2210 | 2016-03-31 |
| 1811386881 | Heather Fowler | Dietitian, Registered | 4665 Renworth Ave Ne, Canton, OH 44714-1194 | 2015-01-14 |
| Find all providers in CANTON | ||||
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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.