AMY J HANOVER


Address: 1100 S Cedar St, Mason, MI 48854-2086
Phone: 5174843000

AMY J HANOVER (NPI# 1811454655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811454655
Entity Type Individual
Full Name AMY J HANOVER
Credential RD
Practice Address 1100 S Cedar St
Mason
MI 48854-2086
Mailing Address 1560 Turf Ln
East Lansing
MI 48823-6392
Practice Telephone 5174843000
Practice Fax Number 5174846358
Mailing Telephone 5174843000
Mailing Fax Number 5174846358
Enumeration Date 2019-02-28
Last Update Date 2019-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 816366 MI Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI COMMISSION ON DIETETIC REGISTRATION 816366 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1560 Turf Ln, East Lansing, MI 488236392 5174843000 5174846358

Office Location

Street Address 1100 S CEDAR ST
City MASON
State MI
Zip Code 48854-2086

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144326935 Steven Owens Family Practice, Plc Family Medicine 1100 S Cedar St, Mason, MI 48854-2009 2006-09-16
1548341720 Dana L Carl Registered Nurse 1100 S Cedar St, Mason, MI 48854-2009 2006-10-17

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1629264973 Charissa Sue Shadduck Dietitian, Registered 3181 Sandhill Rd, Mason, MI 48854 2007-09-20

Providers in the same taxonomy and state

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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Competitor

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City MASON
Zip Code 48854

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Dataset Information

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.

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