ALEXANDRA KATE CAMERON


Address: 200 Grand Ave Ste A, Prudenville, MI 48651-9571
Phone: 9893669166

ALEXANDRA KATE CAMERON (NPI# 1447805312) 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) 1447805312
Entity Type Individual
Full Name ALEXANDRA KATE CAMERON
Credential RDN
Practice Address 200 Grand Ave Ste A
Prudenville
MI 48651-9571
Mailing Address 4627 Willford Rd
Gladwin
MI 48624-7614
Practice Telephone 9893669166
Mailing Telephone 9894247010
Enumeration Date 2019-08-07
Last Update Date 2019-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86114177 MI Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI COMMISSION ON DIETETIC REGISTRATION 86114177 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4489 M 61 Ste 3, Standish, MI 486589272 4489613486

Office Location

Street Address 200 GRAND AVE STE A
City PRUDENVILLE
State MI
Zip Code 48651-9571

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710469036 Stephenie Irish Behavior Technician Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 2018-09-04
1083965404 Mercy Physician Network Clinic/Center 2585 W Houghton Lake Drive, Prudenville, MI 48651 2012-09-25
1609976968 Kronner Pharmacy Inc Pharmacy 778 W Houghton Lake Dr, Prudenville, MI 48651 2006-09-25
1255352936 Mclaren Primary Care Family Medicine 200 N. Grand Ave, Prudenville, MI 48651 2006-07-21
1053381871 Marvin Earl Mcelroy Internal Medicine 1064 W West Branch Rd, Prudenville, MI 48651 2006-01-24
1598390080 Rhiannon Burch Behavior Technician Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 2020-03-05
1629357090 Mclaren Bay Region Nurse Practitioner 200 Grand Ave, Prudenville, MI 48651 2011-08-16
1427320894 Patricia Henning Caswell Counselor 1401 Short Dr., Prudenville, MI 48651-0019 2012-02-01
1023015104 Suzanne A Blanchard Nurse Practitioner 1401 Short Drive, Prudenville, MI 48651-0019 2005-07-05
1023640992 Julie Ignatowski Speech-Language Pathologist 847 Springwood Dr, Prudenville, MI 48651-8405 2020-02-10
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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 state

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
1942817580 Nourished Living LLC Dietitian, Registered 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 2020-09-28
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
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Competitor

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City PRUDENVILLE
Zip Code 48651

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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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