MRS. MICHEL D HARRIS (NPI# 1427162056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427162056 |
Entity Type | Individual |
Full Name | MRS. MICHEL D HARRIS |
Other Name | MISS MICHEL D. DI VITO |
Credential | R.D., LDN, CDE |
Practice Address |
3523 N Lincoln Ave Chicago IL 60657-1137 |
Mailing Address |
4356 N Kenmore Ave Apt 101 Chicago IL 60613-1330 |
Practice Telephone | 7739296262 |
Mailing Telephone | 3125503612 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2014-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 164003376 | IL | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LICENSED DIETITIAN NUTRITIONIST | 164.003376 | 01 |
IL | TAX ID | 46-5085580 | 01 |
IL | CERTIFIED DIABETES EDUCATOR | 20120370 | 01 |
Street Address |
3523 N LINCOLN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60657-1137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699279273 | Victoria Davis | Dietitian, Registered | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2018-03-20 |
1194265850 | Erin Channell | Counselor | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2017-02-28 |
1578005880 | Julia A. Maher, Lcsw, LLC | Social Worker | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2016-11-17 |
1144772526 | Sheana Tobey | Counselor | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2016-11-01 |
1417406646 | Julia Armagnac Maher | Social Worker | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2016-09-29 |
1033569470 | Sithub | Social Worker | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2016-06-16 |
1588035091 | The Awakening Center | Counselor | 3523 N Lincoln Ave, Apt 1305, Chicago, IL 60657 | 2015-10-09 |
1659755700 | Beth Hennessey, P.C. | Counselor | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2015-07-17 |
1538550892 | Nancy Hall | Counselor | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2015-02-09 |
1407245699 | The Awakening Center | Community/Behavioral Health | 3523 N Lincoln Ave, Chicago, IL 60657-1137 | 2015-01-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
Find all providers in zip 60657 |
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 |
---|---|---|---|---|
1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
1447867668 | Daniela Jannette | Dietitian, Registered | 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 | 2020-09-30 |
1598372252 | Nora P Egan | Dietitian, Registered | 2266 W 109th St, Chicago, IL 60643-3212 | 2020-09-28 |
1700490273 | Adriana Chychula | Dietitian, Registered | 2229 W Rice St, Chicago, IL 60622-4858 | 2020-09-02 |
1912519703 | Melissa Freeman | Dietitian, Registered | 225 E Chicago Ave # 23, Chicago, IL 60611-2991 | 2020-08-21 |
1346859873 | Jessica Mcfadden | Dietitian, Registered | 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 | 2020-07-30 |
1114535143 | Jannette Rho | Dietitian, Registered | 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 | 2020-07-15 |
1740807437 | Lisa Schrader | Dietitian, Registered | 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 | 2020-06-29 |
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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.