SHELLY DIMOVSKI (NPI# 1346401569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346401569 |
| Entity Type | Individual |
| Full Name | SHELLY DIMOVSKI |
| Practice Address |
21400 E 11 Mile Rd Saint Clair Shores MI 48081-1502 |
| Practice Telephone | 5864984400 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | CDR847715 | MI | Dietary & Nutritional Service Providers |
| Street Address |
21400 E 11 MILE RD |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034296 | Denise Thi Nguyen | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-05-11 |
| 1437770849 | Lindsay Marie Smith | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-04-27 |
| 1659990059 | Mark Peter Mastromonaco | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2020-04-15 |
| 1871155622 | Eman Bazzi | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2019-07-02 |
| 1902467061 | Devan Dykstra | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2019-06-27 |
| 1104351402 | Dylan Ryan Rogers | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2017-04-24 |
| 1073961884 | Sarah Gammouh | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2016-06-02 |
| 1275952764 | Robert James Mcclowry | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2014-04-10 |
| 1700220654 | Shruti Ramakrishna | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2013-04-22 |
| 1013279371 | Nikola Cengelova Conrad | Family Medicine | 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1942817580 | Nourished Living LLC | Dietitian, Registered | 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 | 2020-09-28 |
| 1760876262 | Natalie Raymond | Dietitian, Registered | 25631 Little Mack Ave # Ll, Saint Clair Shores, MI 48081-2100 | 2015-03-23 |
| 1801901392 | Roxolana Karanecrh | Dietitian, Registered | 22300 Bon Brae St, Saint Clair Shores, MI 48081-2236 | 2006-08-21 |
| 1285080697 | Amanda Alame | Dietitian, Registered | 29519 Harper Ave, Saint Clair Shores, MI 48081-1275 | 2016-05-04 |
| 1205973120 | Josephine Carlesimo | Dietitian, Registered | 19699 E 8 Mile Rd, Saint Clair Shores, MI 48080-1655 | 2007-01-31 |
| 1740395243 | Denise Manos | Dietitian, Registered | 22300 Bon Brae St, Saint Clair Shores, MI 48081-2236 | 2006-08-21 |
| 1164453114 | Susanne E Consiglio | Dietitian, Registered | 22811 Greater Mack Ave, Suite 105, Saint Clair Shores, MI 48080-2021 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850011 | Timothy Matthews | Dietitian, Registered | 5057 Jeddo Rd, Grant Township, MI 48032-1402 | 2020-10-31 |
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1497354823 | Carrie Elizabeth Couretas | Dietitian, Registered | 469 W Baker Ave, Clawson, MI 48017-1535 | 2020-10-17 |
| 1881292506 | Meghan Kathleen Pendleton | Dietitian, Registered | 26025 Pillsbury St, Farmington Hills, MI 48334-4345 | 2020-10-14 |
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1396352225 | Elizabeth Ferrall Consulting LLC | Dietitian, Registered | 10200 17 Mile Rd, Marshall, MI 49068-9797 | 2020-09-24 |
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| 1154937753 | Colleen Wojdyla | Dietitian, Registered | 31424 Iroquois Dr, Warren, MI 48088-7009 | 2020-09-18 |
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| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.