MS. MICHELE ELIZABETH REARDON (NPI# 1255459996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255459996 |
| Entity Type | Individual |
| Full Name | MS. MICHELE ELIZABETH REARDON |
| Credential | M.S., R.D. |
| Practice Address |
5102 Paulsen St Savannah GA 31405-4601 |
| Mailing Address |
17 Village Green Cir Savannah GA 31411-1507 |
| Practice Telephone | 9123565171 |
| Mailing Telephone | 9125987776 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD001158 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801298443 | Michele Reardon | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2014-09-25 |
| Street Address |
5102 PAULSEN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732376 | Monica B Manocha | Pediatrics | 5102 Paulsen St, Building 3, Savannah, GA 31405-4601 | 2005-10-04 |
| 1124401591 | Savannah Surgery Center, LLC | Surgery | 5102 Paulsen St, Bldg 2, Savannah, GA 31405-4601 | 2015-07-03 |
| 1124462403 | Matthew G Marshall | Psychiatry & Neurology | 5102 Paulsen St, Savannah, GA 31405 | 2013-04-17 |
| 1336463876 | Campen Dermatology, LLC | Dermatology | 5102 Paulsen St, Bldg. 4, Savannah, GA 31405-4601 | 2010-03-25 |
| 1336380658 | Campen Eye Care LLC | Ophthalmology | 5102 Paulsen St, Building 4, Savannah, GA 31405-4601 | 2009-03-17 |
| 1104956184 | Savannah Surgery Center, LLP | Specialist | 5102 Paulsen St, Building 2, Savannah, GA 31405-4601 | 2007-03-07 |
| 1558429332 | Savannah Pediatrics, P.C. | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-05 |
| 1508924663 | Bernard M Portman | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-04 |
| 1023086899 | Rebecca B Campen | Dermatology | 5102 Paulsen St, Bldg 4, Savannah, GA 31405-4601 | 2006-03-09 |
| 1528033347 | Susan B Daly | Pediatrics | 5102 Paulsen St, Bldg. 3, Savannah, GA 31405-4601 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1053979690 | Vanessa Lynn Hunt | Dietitian, Registered | 4276 Courtside Dr, Stone Mountain, GA 30083-1292 | 2019-05-30 |
| 1164838173 | Sally Butler Stieghan | Dietitian, Registered | 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 | 2014-07-10 |
| 1265718928 | Practical Wellness LLC | Dietitian, Registered | 889 Stallings Ave Se, Atlanta, GA 30316-2209 | 2011-10-26 |
| 1073793766 | Christy Leigh Roberts | Dietitian, Registered | 190 Calhoun Rd, Griffin, GA 30224-7829 | 2007-11-09 |
| 1225220866 | Nutrition 411 Beverly Ford Rd Ld LLC | Dietitian, Registered | 2425 Williams St, Augusta, GA 30904-6127 | 2007-08-17 |
| 1487873352 | Cynthia Goudeau | Dietitian, Registered | 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 | 2007-04-25 |
| 1457440786 | Amanda Jo Redden | Dietitian, Registered | 22 Camden Cir, Newnan, GA 30265-5551 | 2006-10-12 |
| 1316057862 | Mary Etta James Gresham | Dietitian, Registered | 5330 Cayuga Ct, Lithonia, GA 30038-1106 | 2006-08-30 |
| 1376579656 | Melissa Ann Krentzman | Dietitian, Registered | 1685 Barfield Run Nw, Atlanta, GA 30318-2778 | 2006-06-25 |
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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.