GRACE DEROCHA (NPI# 1659567592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659567592 |
| Entity Type | Individual |
| Full Name | GRACE DEROCHA |
| Other Name | GRACE ARRIOLA |
| Credential | R.D., C.D.E |
| Practice Address |
30158 Trailwood Dr Warren MI 48092-6304 |
| Mailing Address |
1333 Brewery Park Blvd Suite 200 Detroit MI 48207-4544 |
| Practice Telephone | 3135701166 |
| Mailing Telephone | 3134464444 |
| Mailing Fax Number | 3134464445 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 886178 | MI | Dietary & Nutritional Service Providers |
| N | 174H00000X | Health Educator | 20920243 | MI | Other Service Providers |
| Street Address |
30158 TRAILWOOD DR |
| City | WARREN |
| State | MI |
| Zip Code | 48092-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| 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 |
| 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 |
| 1033744966 | Pamela S, Evans | Dietitian, Registered | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-11 |
| 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.