MS. LISA MARIE MERRILL (NPI# 1275600397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275600397 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE MERRILL |
| Credential | M.S.,R.D. |
| Practice Address |
3939 Van Horn Rd Trenton MI 48183-4013 |
| Mailing Address |
3341 22nd St Wyandotte MI 48192-6012 |
| Practice Telephone | 7345028264 |
| Practice Fax Number | 8772877216 |
| Mailing Telephone | 7345028264 |
| Mailing Fax Number | 7343627501 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 804989 | MI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982001236 | Lisa Ann Merrill | Specialist/Technologist | 25 Leshin Ln, Hightstown, NJ 08520-4001 | 2014-12-02 |
| 1487823712 | Lisa M Merrill | Nurse Anesthetist, Certified Registered | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2008-02-20 |
| 1235109653 | Lisa C Merrill | Family Medicine | 100 Sentara Cir, Room 2c, Williamsburg, VA 23188-5713 | 2006-01-26 |
| Street Address |
3939 VAN HORN RD |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981538 | Judith Cisco | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183-4013 | 2015-05-14 |
| 1871911834 | Courtney Ruddock | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183-4013 | 2014-04-06 |
| 1215352489 | Tracie Jager | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183-4013 | 2014-02-25 |
| 1679911994 | Kimberley Jo Drain | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183-4013 | 2013-06-08 |
| 1598004665 | Balanced Therapeutics, LLC | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183-4013 | 2013-02-08 |
| 1508128935 | Lindsey Zulewski | Massage Therapist | 3939 Van Horn Rd, Trenton, MI 48183 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| 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 |
|---|---|---|---|---|
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1023202827 | Medical Nutrition Therapists, LLC | Dietitian, Registered | 510 N Harrison St, Trenton, IL 62293-1070 | 2007-09-05 |
| 1609084532 | Lisa Rae Haselhorst | Dietitian, Registered | 620 N Harrison St, Trenton, IL 62293-1071 | 2007-05-21 |
| 1235236704 | Mindy Ann Komosinsky | Dietitian, Registered | Capital Health System Food & Nutrition Services, 750 Brunswick Avenue, Trenton, NJ 08638 | 2006-09-19 |
| 1891315198 | Roots Integrative, LLC | Dietitian, Registered | 100 Horizon Center Blvd, Trenton, NJ 08691-1910 | 2020-04-16 |
| 1962997189 | Katharine Renee Scott | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2018-06-29 |
| 1467808303 | Colleen Shank | Dietitian, Registered | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2016-05-10 |
| 1407210107 | Danielle C Townsend | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-08 |
| 1306209788 | Anna E Thomas | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-01 |
| 1184020059 | Amoke Adams | Dietitian, Registered | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2014-11-05 |
| Find all providers in TRENTON | ||||
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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.