MRS. MICHELE MARIE MARTIN (NPI# 1730440322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730440322 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE MARIE MARTIN |
| Other Name | MISS MICHELE MARIE HARNESS |
| Credential | RD |
| Practice Address |
2401 W Main St Marion IL 62959-1188 |
| Practice Telephone | 6189975311 |
| Mailing Telephone | 6189975311 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.005412 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194966325 | Michele Diane Martin | Marriage & Family Therapist | 18484 Outer Hwy 18 Ste 125, Apple Valley, CA 92307 | 2009-03-18 |
| 1992976492 | Michele Marie Martin | Clinical Nurse Specialist | 19326 Baron Rd, Mokena, IL 60448-9288 | 2008-03-12 |
| 1467598359 | Michele Martin | Clinic/Center | 6020 Warden Rd Ste 230, Sherwood, AR 72120 | 2007-01-29 |
| 1396734323 | Michele Katharine Martin | Marriage & Family Therapist | 1920 E Main St, Ashland, OR 97520-8701 | 2005-10-21 |
| 1144675620 | Michele Martin | Dental Hygienist | 33060 Northwestern Hwy, West Bloomfield, MI 48322-3693 | 2016-05-03 |
| 1396129664 | Michele Martin | Counselor | 150 Mount Hope Ave, Rochester, NY 14620-1016 | 2015-07-16 |
| 1932512027 | Michele Martin | Physical Therapy Assistant | 5220 Sw 17th St, 130, Topeka, KS 66604-2500 | 2014-06-05 |
| 1679875215 | Michele Antoinette Martin | Registered Nurse | 1493 Cambridge St, Zinberg Clinic, Cambridge, MA 02139-1047 | 2010-12-02 |
| 1083899884 | Michele Lorraine Martin | Pain Medicine | 14205 Park Center Dr, Suite 204, Laurel, MD 20707-5246 | 2007-12-31 |
| 1942404264 | Michele Marion Martin | Marriage & Family Therapist | 636 Church St, Suite 601, Evanston, IL 60201-4508 | 2007-06-12 |
| Street Address |
2401 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277696 | Keith D Stewart | Dentist | 2401 W Main St, Marion, IL 62959-1188 | 2005-12-22 |
| 1396353397 | John Gilmore | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2020-07-16 |
| 1083230098 | Samantha Ann Kimble | Social Worker | 2401 W Main St, Marion, IL 62959-1188 | 2020-06-25 |
| 1659907954 | Jason Patton | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-03-18 |
| 1275164543 | Edward Staba | Psychologist | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-27 |
| 1497385918 | Megan Berkel | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-23 |
| 1699316521 | Angela Trowbridge | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-10-02 |
| 1891346276 | Donna Householder | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1457902918 | Brenda Frazier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1043861420 | Michelle Collier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1487173571 | Melissa Mclaughlin | Dietitian, Registered | 3600 Highway 151, Marion, IA 52302 | 2017-09-11 |
| 1659635548 | Jennifer Ann Heringhausen | Dietitian, Registered | 3600 Business Hwy 151 E, Marion, IA 52302 | 2012-06-26 |
| 1932411279 | Stephanie E. Skinner | Dietitian, Registered | 649 1/2 Goolsby St, Marion, VA 24354-1703 | 2010-07-01 |
| 1306067350 | Jeannine Marcum | Dietitian, Registered | 3058 Claridon Westfield Road, Marion, OH 43302-8968 | 2007-05-01 |
| 1932274263 | Susan Lee Morvich | Dietitian, Registered | 2401 W Main Street Rm 113 Nhcu, Veterans Administration Medical Center, Marion, IL 62959 | 2006-11-21 |
| 1407456593 | Ann Hett | Dietitian, Registered | 535 S Freeborn St, Marion, KS 66861-1256 | 2020-10-28 |
| 1669018594 | Marybeth Pecina | Dietitian, Registered | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-26 |
| 1003463019 | Robert Joseph Simmons | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-08-23 |
| 1912559352 | Tori Gusewelle | Dietitian, Registered | 2401 W Main St, Marion, IL 62959-1188 | 2019-07-16 |
| 1609331016 | Anna Lois Mccullough | Dietitian, Registered | 441 N Wabash Ave, Marion, IN 46952-2690 | 2019-02-10 |
| Find all providers in MARION | ||||
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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.