SANDRA D. PERNECKY


Address: 630 Archwood Dr, Ann Arbor, MI 48103-2807
Phone: 7347418399

SANDRA D. PERNECKY (NPI# 1427523588) 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) 1427523588
Entity Type Individual
Full Name SANDRA D. PERNECKY
Practice Address 630 Archwood Dr
Ann Arbor
MI 48103-2807
Mailing Address 1215 N Huron River Dr
Ypsilanti
MI 48197-2351
Practice Telephone 7347418399
Mailing Telephone 7344873713
Enumeration Date 2018-10-04
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ACADEMY OF NUTRITION AND DIETETICS 718222 01

Office Location

Street Address 630 ARCHWOOD DR
City ANN ARBOR
State MI
Zip Code 48103-2807

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043839343 Melissa Sylvia Danan Rilko Social Worker 1775 Timber Trail, Ann Arbor, MI 48103 2020-04-16
1427602929 Ashwini Gulwadi, Pllc Psychiatry & Neurology 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 2019-08-01
1225593155 Brent Aaron Reeve Chiropractor 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 2019-02-05
1548746779 Loren Camano Shkolnik Registered Nurse 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 2018-07-11
1982193256 Jacob B Nienhuis Psychologist 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 2018-05-02
1053818633 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 2018-04-10
1376052647 Shivika Verma Dentist 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 2017-09-29
1881118206 Harrison Udensi Igwe Clinic/Center 522 South Maple Stree, Ann Arbor, MI 48103 2017-07-27
1841727641 Kathleen Murphy Psychologist 4141 Woodland Drive, Ann Arbor, MI 48103 2017-05-11
1972037133 Jonathan Broek Dietitian, Registered 2920 Lakeview Dr, Ann Arbor, MI 48103 2017-04-14
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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
1548860075 Mona Alaudhi Dietitian, Registered 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 2020-10-26
1598372831 Ann Christine Whetstone Dietitian, Registered 1731 Barrington Pl, Ann Arbor, MI 48103-5606 2020-09-30
1760096523 Andrea Wotan Dietitian, Registered 900 Patricia Ave, Ann Arbor, MI 48103-2634 2020-08-31
1932718970 Erin Elizabeth Zettell Dietitian, Registered 329 Doty Ave, Ann Arbor, MI 48103-3577 2020-07-27
1710502471 Amie Leah Ritchie Dietitian, Registered 60 Luella Ave, Ann Arbor, MI 48103-1836 2020-06-09
1740805514 Anna Nicole Jones Dietitian, Registered 223 Fieldcrest St, Ann Arbor, MI 48103-6417 2020-06-08
1750901427 Sarah Levitre Godfrey Dietitian, Registered 3624 Partridge Path Apt 3, Ann Arbor, MI 48108-2437 2020-04-22
1891352571 Kellie Hallaron Dietitian, Registered 101 W. Liberty Street, Suite 360, Suite 360, Ann Arbor, MI 48104-4810 2019-05-29
1023518313 Mary Balog Dietitian, Registered 116 Allen Dr, Ann Arbor, MI 48103-4002 2018-02-14
1386150217 Joyce Barretto Patterson Dietitian, Registered Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 2017-12-14
Find all providers in ANN ARBOR

Competitor

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City ANN ARBOR
Zip Code 48103

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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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