MISS SHANIA JEAN TEBO (NPI# 1619511037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619511037 |
| Entity Type | Individual |
| Full Name | MISS SHANIA JEAN TEBO |
| Credential | RDN |
| Practice Address |
3401 Ludington St Escanaba MI 49829-1300 |
| Mailing Address |
N11601 Lucke Lane I 3 Daggett MI 49821-9624 |
| Practice Telephone | 9067865707 |
| Mailing Telephone | 9062508040 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86151478 | MI | Dietary & Nutritional Service Providers |
| Street Address |
3401 LUDINGTON ST |
| City | ESCANABA |
| State | MI |
| Zip Code | 49829-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447813 | Kaladevi Nadarajan | Internal Medicine | 3401 Ludington St, Escanaba, MI 49829-1300 | 2005-09-13 |
| 1679113385 | Stacey Lynn Stier | Nurse Practitioner | 3401 Ludington St, Escanaba, MI 49829-1300 | 2020-01-10 |
| 1972141513 | Cira Michigan, P.C. | Radiology | 3401 Ludington St, Escanaba, MI 49829-1300 | 2019-12-13 |
| 1366906786 | Laura Kae Mead | Speech-Language Pathologist | 3401 Ludington St, Escanaba, MI 49829-1300 | 2019-01-30 |
| 1922582881 | Andrew James Gearhart | Nurse Practitioner | 3401 Ludington St, Escanaba, MI 49829-1300 | 2018-09-18 |
| 1790287456 | Shayne R Lamarch | Dietitian, Registered | 3401 Ludington St, Escanaba, MI 49829-1300 | 2018-03-08 |
| 1669997292 | Julie Aschbacher | Speech-Language Pathologist | 3401 Ludington St, Escanaba, MI 49829-1300 | 2017-08-04 |
| 1528508587 | Linda Klope | Dietitian, Registered | 3401 Ludington St, Escanaba, MI 49829-1300 | 2017-02-24 |
| 1922545250 | Gregory Mishica | Physical Therapist | 3401 Ludington St, Escanaba, MI 49829-1300 | 2017-01-25 |
| 1922545557 | Danielle Dee Way | Speech-Language Pathologist | 3401 Ludington St, Escanaba, MI 49829-1300 | 2017-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1104308535 | Lindsay Hope Hall | Occupational Therapist | 2415 5th Ave, Escanaba, MI 49829 | 2018-09-01 |
| 1962941260 | Amber Joy Quigley | Speech-Language Pathologist | 300 Willow Creek Road, Escanaba, MI 49829 | 2017-02-20 |
| 1316377799 | Michelle M Holochwost | Physical Therapist | 501 S. Lincoln Road, Escanaba, MI 49829 | 2013-11-20 |
| 1518304179 | Megan Haas | Audiologist | 423, Suite 1, Escanaba, MI 49829 | 2013-05-22 |
| 1063768422 | Stacey Lynn Cole | Nurse Practitioner | 3409 Ludington St Ste 104, Escanaba, MI 49829 | 2012-08-03 |
| 1407177678 | Sarah Jean Nault | Physical Therapist | 501 S. Lincoln Rd, Escanaba, MI 49829 | 2010-06-22 |
| 1851572960 | James Brian Hull | Occupational Therapist | 2415 Fifth Avenue South, Escanaba, MI 49829 | 2007-11-16 |
| 1497942841 | Anne M Stein | Nurse Practitioner | 7100 Co. Rd. 426, Escanaba, MI 49829 | 2007-10-01 |
| 1083813703 | Michael Czerkes | Obstetrics & Gynecology | 3409 Ludington St Ste 204, Escanaba, MI 49829 | 2007-07-12 |
| Find all providers in zip 49829 | ||||
| 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 |
|---|---|---|---|---|
| 1790287456 | Shayne R Lamarch | Dietitian, Registered | 3401 Ludington St, Escanaba, MI 49829-1300 | 2018-03-08 |
| 1528508587 | Linda Klope | Dietitian, Registered | 3401 Ludington St, Escanaba, MI 49829-1300 | 2017-02-24 |
| 1093188351 | Casey Lynn Young | Dietitian, Registered | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2015-11-09 |
| 1508280033 | Tonya Lafave | Dietitian, Registered | 2501 14th Ave S, Escanaba, MI 49829-1290 | 2014-02-04 |
| 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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| 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.