MS. AMY LYNN FEDEWA (NPI# 1881026300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881026300 |
| Entity Type | Individual |
| Full Name | MS. AMY LYNN FEDEWA |
| Credential | RD, LD |
| Practice Address |
1717 Shaffer St Kalamazoo MI 49048-1647 |
| Mailing Address |
5943 Stadium Dr Food and Nutrition Department Ba1565 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2692265965 |
| Practice Fax Number | 2692265056 |
| Mailing Telephone | 2695522836 |
| Mailing Fax Number | 2695522964 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86012347 | MI | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LD004098 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1717 SHAFFER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353658 | John A Carr | Surgery | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2005-06-01 |
| 1114425279 | Restorix Health Inc | Nurse Practitioner | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2018-01-24 |
| 1073982104 | Alexandra Rae Cook | Dietitian, Registered | 1717 Shaffer St, Suite 108, Kalamazoo, MI 49048-1647 | 2015-09-18 |
| 1104166909 | Alexandra M Timpson | Dietitian, Registered | 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048-1647 | 2013-02-15 |
| 1992042295 | Emelia C Hirschman | Dietitian, Registered | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2013-01-08 |
| 1144575283 | Adnan Kassier | Internal Medicine | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2012-07-16 |
| 1679831358 | Bethany Herder | Dietitian, Registered | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2012-05-01 |
| 1629355813 | Kelly Noel Becker | Registered Nurse | 1717 Shaffer St, Ste. 124, Kalamazoo, MI 49048-1647 | 2011-11-16 |
| 1730465584 | Linda E Kline | Nurse Practitioner | 1717 Shaffer St, Kalamazoo, MI 49048-1647 | 2011-10-25 |
| 1598058455 | Elmira Tulegenovna Yessengaliyeva | Psychiatry & Neurology | 1717 Shaffer St, Ste. 010, Kalamazoo, MI 49048-1647 | 2011-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| 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 |
|---|---|---|---|---|
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1689296246 | Kristin Draayer | Dietitian, Registered | 724 Garland Cir Apt A, Kalamazoo, MI 49008-2461 | 2020-05-17 |
| 1548735335 | Hannah Staples | Dietitian, Registered | 2044 Glendale Blvd, Kalamazoo, MI 49004-1715 | 2018-10-08 |
| 1063987014 | Ellen Katherine Macalpine | Dietitian, Registered | 353 Lake Ridge Dr, Kalamazoo, MI 49006-4397 | 2018-10-05 |
| 1144795113 | Taylor Rimpel | Dietitian, Registered | 5747 Sandalwood Dr Apt 3b, Kalamazoo, MI 49048-6623 | 2018-10-05 |
| 1083189278 | Elizabeth Vermeulen | Dietitian, Registered | 4119 Valley Ridge Dr Apt 7, Kalamazoo, MI 49006-4048 | 2018-10-04 |
| 1225549330 | Ann Thomas Lapoint | Dietitian, Registered | 601 John St # 27, Kalamazoo, MI 49007-5341 | 2017-10-16 |
| 1366970840 | Danielle Elizabeth Fiskars-byers | Dietitian, Registered | 2961 Hunters Mdws, Kalamazoo, MI 49048-6126 | 2017-05-30 |
| 1780017384 | Julia Anne Ridenour | Dietitian, Registered | 601 John St Ste W-308, Kalamazoo, MI 49007-5357 | 2013-08-19 |
| 1477825594 | Susan Joyce Katz-scheinker | Dietitian, Registered | 5955 W Main Street, Kalamazoo, MI 49009 | 2012-02-06 |
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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.