MRS. CHARISSA SUE SHADDUCK (NPI# 1629264973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629264973 |
| Entity Type | Individual |
| Full Name | MRS. CHARISSA SUE SHADDUCK |
| Credential | MS RD |
| Practice Address |
3181 Sandhill Rd Mason MI 48854 |
| Practice Telephone | 5173366060 |
| Practice Fax Number | 5173366050 |
| Mailing Telephone | 5173366060 |
| Mailing Fax Number | 5173366050 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
3181 SANDHILL RD |
| City | MASON |
| State | MI |
| Zip Code | 48854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609956317 | Jennifer R Chissus | Recreation Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2006-10-17 |
| 1215547740 | Emilie Jo Brzak | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2020-08-10 |
| 1154978112 | Kacy Ann Shetler | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2019-08-23 |
| 1881257921 | Colette Katherine Chapp | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2019-04-15 |
| 1972086411 | Aimee Joyce Sudek | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-09-11 |
| 1558858001 | Lindsay Marie Hunt | Speech-Language Pathologist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-04-19 |
| 1902306392 | Heather Marie Heppe | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2018-02-13 |
| 1780136788 | Jennifer Taylor | Occupational Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-10-26 |
| 1841747805 | Dana Marie Vandreumel | Registered Nurse | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-09-07 |
| 1609224906 | Mariah Morgan | Physical Therapist | 3181 Sandhill Rd, Mason, MI 48854-9425 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| 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 |
|---|---|---|---|---|
| 1982218335 | Jennifer Messer | Dietitian, Registered | 41 Old Ashby Rd, Mason, NH 03048-4603 | 2020-09-02 |
| 1295359800 | Lauren Alexandra Findley | Dietitian, Registered | 4819 Hampton Pond Ln, Mason, OH 45040-5698 | 2020-05-31 |
| 1609393487 | Marta Graham | Dietitian, Registered | 8367 Winding Trail Pl, Mason, OH 45040-9553 | 2017-08-23 |
| 1811454655 | Amy J Hanover | Dietitian, Registered | 1100 S Cedar St, Mason, MI 48854-2086 | 2019-02-28 |
| 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.