STEPHANIE KENNEDY


Address: 207 E Baltimore St, Detroit, MI 48202-3278
Phone: 3136007505

STEPHANIE KENNEDY (NPI# 1568062867) 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) 1568062867
Entity Type Individual
Full Name STEPHANIE KENNEDY
Credential CHN, LMT
Practice Address 207 E Baltimore St
Detroit
MI 48202-3278
Mailing Address 207 E Baltimore St Apt 6
Detroit
MI 48202-3278
Practice Telephone 3136007505
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133N00000X Nutritionist 89433--CERTIFICA MI Dietary & Nutritional Service Providers

Other Providers STEPHANIE KENNEDY

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1548461262 Stephanie Dawn Kennedy Speech-Language Pathologist 4626 Preston Woods Dr, Valrico, FL 33594-7872 2007-05-30
1831799923 Stephanie J Kennedy Occupational Therapy Assistant 21630 Merchants Way, Katy, TX 77449-2514 2020-10-28
1073149142 Stephanie Kennedy Case Manager/Care Coordinator 5041 Oaklawn Dr, Cincinnati, OH 45227-1433 2020-03-20
1912551441 Stephanie M Kennedy Obstetrics & Gynecology 1701 South Blvd E Ste 200, Rochester Hills, MI 48307-6116 2019-08-01
1467918441 Stephanie Kennedy Technician 1123 Baldwin St, Salinas, CA 93906-3681 2019-02-14
1700340981 Stephanie Kennedy Licensed Practical Nurse 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 2019-01-22
1144708306 Stephanie Lisa Kennedy Speech-Language Pathologist 3391 Richmond Ave, Staten Island, NY 10312-2025 2018-07-31
1952787624 Stephanie Kennedy Occupational Therapist 1915 W Main St, Russellville, AR 72801-2725 2015-08-05

Office Location

Street Address 207 E BALTIMORE ST
City DETROIT
State MI
Zip Code 48202-3278

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 133N00000X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist

Taxonomy Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457802597 Nikki Malensky Nutritionist 1035 Sipsey Fork Rd, Detroit, AL 35552-2024 2016-10-24
1033554019 Jolita Antoinette Cotton Nutritionist 2660 E Vernor Hwy Apt 202, Detroit, MI 48207-5179 2013-05-06
1659665826 Judith Elaine Jenkins Nutritionist 9975 Plainview Ave, Detroit, MI 48228-1311 2011-06-06
1558698613 Nutrition Enterpirses Nutritionist 400 Renaissance Ctr Ste 2600, Detroit, MI 48243-1502 2009-11-11
1881845014 Deborah A Caldwell Nutritionist 13340 E Warren, Detroit, MI 48215 2008-10-07
1396181988 Michele Denise Ramsey Nutritionist 4880 Lawndale St, Detroit, MI 48210-2010 2013-05-22
1982838629 Renee Johnson Nutritionist 4875 Coplin St, Detroit, MI 48215-2192 2009-05-10
1902076631 Fana Gebrehiwet Sebhatu Nutritionist 15819 Schoolcraft St, Detroit, MI 48227-1749 2008-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316562861 Knowingly Nourished, LLC Nutritionist 6642 S Lake Shore Dr # Di, Harbor Springs, MI 49740-9785 2020-06-10
1841826336 Christine Frazier Nutritionist 144 St Clair Cir, Brooklyn, MI 49230-8358 2020-03-17
1194375311 Health Coach Shalynne, LLC. Nutritionist 21751 W 11 Mile Rd Ste 208, Southfield, MI 48076-3780 2019-09-19
1952968109 Zelda Felix-mottley Nutritionist 1737 Hillandale Rd, Benton Harbor, MI 49022-9630 2019-05-23
1801450085 Lana Coxton Nutrition LLC Nutritionist 23077 Greenfield Rd Ste 479, Southfield, MI 48075-3769 2019-04-23
1811472269 Green Apple Nutrition Services LLC Nutritionist 7252 Andover Dr, Canton, MI 48187-1130 2018-10-02
1801386768 Andrea Melissa Aguilar Corrales Nutritionist 1715 Lansing Ave Ste 257, Jackson, MI 49202-2193 2018-05-16
1487144846 Laura Ann Anderson Nutritionist 121 S Church St, Hastings, MI 49058-1817 2018-05-11
1528586781 Kelly J Dukarski Nutritionist 4 Columbus Ave Ste 240, Bay City, MI 48708-6472 2017-09-07
1568983070 Samantha Daily Nutritionist 10315 Grand River Rd Ste 203, Brighton, MI 48116-9585 2017-07-06
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Competitor

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City DETROIT
Zip Code 48202

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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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