MRS. MARY ELISABETH QIBLAWI (NPI# 1134286651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134286651 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELISABETH QIBLAWI |
| Credential | R.D., C.D. |
| Practice Address |
5900 S Lake Dr Cudahy WI 53110-3171 |
| Mailing Address |
5839 W Edgerton Ave Greenfield WI 53220-4923 |
| Practice Telephone | 4144894532 |
| Practice Fax Number | 4144894217 |
| Mailing Telephone | 4144217440 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1082-029 | WI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WI CREDENTIAL | 1082-029 | 01 |
| Street Address |
5900 S LAKE DR |
| City | CUDAHY |
| State | WI |
| Zip Code | 53110-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513974 | Allan Richard Pasch | Surgery | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2005-07-21 |
| 1386268977 | Dawn Sheffield | Social Worker | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-05-30 |
| 1114546470 | Ally Marthaler-gerads | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-15 |
| 1689293219 | Hilary Korb | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1699394213 | Cynthia Faulkner Cook | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1437655438 | Kimberly J Gehrig | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2018-03-30 |
| 1346792181 | Kathryn Merkel | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-10-27 |
| 1487004172 | Ben M Ramirez | Nurse Practitioner | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2016-06-14 |
| 1366838203 | Cameron M Malone | Hospitalist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2015-04-07 |
| 1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
| 1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
| 1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
| 1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
| 1386722817 | Ami Prag | Family Medicine | 5900 S Lake Drive, #100, Cudahy, WI 53110 | 2006-11-01 |
| 1689780462 | Jack Avak Tertadian | Internal Medicine | 5900 S. Lake Drive, Cudahy, WI 53110 | 2006-08-22 |
| 1326205162 | Edward J Tomasik & Associate Optometrists Inc. | Durable Medical Equipment & Medical Supplies | 3552 E Layton Ave, Cudahy, WI 53110-0200 | 2008-05-20 |
| 1609171453 | Stat Access | Nursing Care | 3429 E Allerton Ave, Cudahy, WI 53110-1017 | 2011-01-25 |
| 1790314599 | John Hoehn | Social Worker | 3754 E Allerton Ave, Cudahy, WI 53110-1109 | 2020-04-03 |
| Find all providers in zip 53110 | ||||
| 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 |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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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.