CORINNA RACHEL KUDWA


Address: 113 W Broadway St Ste 200, Mt Pleasant, MI 48858-2575
Phone: 9894001478

CORINNA RACHEL KUDWA (NPI# 1215432471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215432471
Entity Type Individual
Full Name CORINNA RACHEL KUDWA
Credential MS, RDN
Practice Address 113 W Broadway St Ste 200
Mt Pleasant
MI 48858-2575
Mailing Address 150 Fenner Rd
Ovid
MI 48866-9546
Practice Telephone 9894001478
Mailing Telephone 9894138031
Enumeration Date 2018-03-28
Last Update Date 2018-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 329500852 MI Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
410 W Cherry St, Mt Pleasant, MI 488582473 9894138031
206 W Wackerly St, Midland, MI 486402790 9894868484
1001 Fairfield Dr, Mt Pleasant, MI 488584317 9899544673

Office Location

Street Address 113 W BROADWAY ST STE 200
City MT PLEASANT
State MI
Zip Code 48858-2575

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NPI Name Taxonomy Address Enumeration
1215535067 Family Tree Maternity Center, LLC Midwife 5201 S. Mission Rd., Mt. Pleasant, MI 48858 2020-10-14
1942842471 Isabella Citizens for Health, Inc. Pharmacy 2790 Health Parkway, Mt Pleasant, MI 48858 2019-10-16
1295299279 Dalten Tyler Simnitch Student in an Organized Health Care Education/Training Program 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 2019-01-24
1942773809 Jordan Lynn Bell Technician, Other 798 S Whilteville Rd, Mount Pleasant, MI 48858 2019-01-03
1083183578 Amanda Danielle Greene Student in an Organized Health Care Education/Training Program 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 2018-11-14
1891264388 Emily Mccullen Student in an Organized Health Care Education/Training Program 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1174092662 Nathaniel Lambie Student in an Organized Health Care Education/Training Program 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 2018-11-14
1386110872 Megan Stahl Social Worker 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 2018-10-23
1710461090 Beverly Jean Medford Custodial Care Facility 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 2018-09-21
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831716919 Upbeet Nutrition LLC Dietitian, Registered 1129 Shady Grove Ln, Mt Pleasant, SC 29464-9016 2020-07-06
1093346710 Kate Marie Kennedy Dietitian, Registered 659 Serotina Ct, Mt Pleasant, SC 29464-5171 2020-01-31
1124431861 Vicky J Ott Dietitian, Registered 3111 Linksland Rd, Mt Pleasant, SC 29466-8976 2014-06-10
1932448206 Kathleen Louise Moore Dietitian, Registered 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 2013-02-06
1649528829 Sylvia Davis Blyth Dietitian, Registered 1452 Oaklanding Rd, Mt Pleasant, SC 29464-3829 2012-08-20
1114041290 Charlotte Lorraine Lively Dietitian, Registered 2000 N Jefferson Ave, Mt Pleasant, TX 75455-2337 2007-03-16
1972642056 Christine Lybrand Dietitian, Registered 2154 Country Manor Dr, Mt Pleasant, SC 29466-7448 2007-02-06
1376175307 Me, Simply Kate LLC Dietitian, Registered 659 Serotina Ct, Mt Pleasant, SC 29464-5171 2020-02-07
1003459009 Sally W Van Cise Dietitian, Registered 2591 S Leaton Rd, Mt Pleasant, MI 48858-8421 2019-10-22
1871980599 Melissa Anne Baugh Dietitian, Registered 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2015-04-20
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Competitor

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City MT PLEASANT
Zip Code 48858

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Dataset Information

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.

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