ANDREA WOTAN (NPI# 1760096523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760096523 |
| Entity Type | Individual |
| Full Name | ANDREA WOTAN |
| Credential | RD |
| Practice Address |
900 Patricia Ave Ann Arbor MI 48103-2634 |
| Practice Telephone | 7342637374 |
| Mailing Telephone | 7342637374 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86109809 | MI | Dietary & Nutritional Service Providers |
| Street Address |
900 PATRICIA AVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455132 | Wotan Nutrition LLC | Dietitian, Registered | 900 Patricia Ave, Ann Arbor, MI 48103-2634 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| 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 |
|---|---|---|---|---|
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1932718970 | Erin Elizabeth Zettell | Dietitian, Registered | 329 Doty Ave, Ann Arbor, MI 48103-3577 | 2020-07-27 |
| 1710502471 | Amie Leah Ritchie | Dietitian, Registered | 60 Luella Ave, Ann Arbor, MI 48103-1836 | 2020-06-09 |
| 1740805514 | Anna Nicole Jones | Dietitian, Registered | 223 Fieldcrest St, Ann Arbor, MI 48103-6417 | 2020-06-08 |
| 1750901427 | Sarah Levitre Godfrey | Dietitian, Registered | 3624 Partridge Path Apt 3, Ann Arbor, MI 48108-2437 | 2020-04-22 |
| 1891352571 | Kellie Hallaron | Dietitian, Registered | 101 W. Liberty Street, Suite 360, Suite 360, Ann Arbor, MI 48104-4810 | 2019-05-29 |
| 1427523588 | Sandra D. Pernecky | Dietitian, Registered | 630 Archwood Dr, Ann Arbor, MI 48103-2807 | 2018-10-04 |
| 1023518313 | Mary Balog | Dietitian, Registered | 116 Allen Dr, Ann Arbor, MI 48103-4002 | 2018-02-14 |
| 1386150217 | Joyce Barretto Patterson | Dietitian, Registered | Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 | 2017-12-14 |
| Find all providers in ANN ARBOR | ||||
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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.