MR. JOSHUA BENNETT (NPI# 1588180509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588180509 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA BENNETT |
| Credential | RD |
| Practice Address |
21230 Dequindre Rd Warren MI 48091-2279 |
| Practice Telephone | 5868802447 |
| Practice Fax Number | 5864274921 |
| Mailing Telephone | 5868802447 |
| Mailing Fax Number | 5864274921 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86053205 | MI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 404554179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457691081 | Joshua Bennett | Specialist/Technologist | 1001 Truxtun Ave, Bakersfield, CA 93301 | 2013-02-19 |
| 1104469816 | Joshua Bennett | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-10-25 |
| 1619518594 | Joshua David Bennett | Marriage & Family Therapist | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2019-10-02 |
| 1972028207 | Joshua Leroy Bennett | Dentist | 1400 N Westmoreland Rd, Dallas, TX 75211-1656 | 2017-08-08 |
| 1467558973 | Joshua Henry Bennett | Family Medicine | 3721 Tecport Dr, Harrisburg, PA 17111-1219 | 2006-09-15 |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1477049260 | Alexander Icardi | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-05 |
| 1487140521 | William Alexander Carter | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-02 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1801305198 | Tricia Ann Haener | Registered Nurse | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-09-29 |
| 1801311030 | Susan Marie Vendemelio | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1477074904 | Seyed Sadegh Arab | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-07-06 |
| 1457703597 | Ghassan Ateyah | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2016-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| 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 |
|---|---|---|---|---|
| 1154937753 | Colleen Wojdyla | Dietitian, Registered | 31424 Iroquois Dr, Warren, MI 48088-7009 | 2020-09-18 |
| 1437701240 | Sara M. Szatkowski | Dietitian, Registered | 3849 Dora Dr, Warren, MI 48091-6106 | 2019-07-11 |
| 1477111003 | Elle Marie Bernardo | Dietitian, Registered | 31 Saw Mill Rd, Warren, NJ 07059-5103 | 2019-05-29 |
| 1205369592 | Leigh Marchio | Dietitian, Registered | 1523 Den Jean Dr Ne, Warren, OH 44483-4313 | 2017-04-04 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1659567592 | Grace Derocha | Dietitian, Registered | 30158 Trailwood Dr, Warren, MI 48092-6304 | 2007-09-24 |
| 1902961659 | Lori Kolodin | Dietitian, Registered | 6 Schindelar Woods Way, Warren, NJ 07059-6851 | 2006-12-23 |
| 1205998622 | Andrea Berez | Dietitian, Registered | 17 Cambridge Dr, Warren, NJ 07059-6940 | 2006-12-14 |
| 1396794848 | Nancy Ann Lambert | Dietitian, Registered | 667 Eastland Avenue S.e., Warren, OH 44484 | 2006-05-10 |
| 1194340893 | Shannon Cairns | Dietitian, Registered | 1460 Tod Ave Nw, Warren, OH 44485-2407 | 2020-06-09 |
| Find all providers in WARREN | ||||
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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.