DHAARA ANTANI (NPI# 1902422751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902422751 |
| Entity Type | Individual |
| Full Name | DHAARA ANTANI |
| Credential | RDN, MPH |
| Practice Address |
5555 Conner St Detroit MI 48213-3448 |
| Mailing Address |
1468 Prestbury Ct Canton MI 48187-2977 |
| Practice Telephone | 3133444100 |
| Mailing Telephone | 7349453036 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86119679 | MI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | COMMISSION ON DIETETIC REGISTRATION (CDR) | 86119679 | 01 |
| Street Address |
5555 CONNER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237551 | Mary L Serowoky | Nurse Practitioner | 5555 Conner St, St 2691, Detroit, MI 48213-3448 | 2005-06-30 |
| 1164066643 | Bethany J. Howard | Case Manager/Care Coordinator | 5555 Conner St, Detroit, MI 48213-3448 | 2019-10-29 |
| 1699234153 | Madison Community Hospital Inc | Nurse Practitioner | 5555 Conner St, Detroit, MI 48213-3448 | 2019-03-14 |
| 1700357563 | Ashley Henninger | Speech-Language Pathologist | 5555 Conner St, Detroit, MI 48213-3448 | 2018-12-05 |
| 1720564651 | Metropolitan Detroit Center for Independent Living | Case Management | 5555 Conner St, Detroit, MI 48213-3448 | 2018-07-13 |
| 1386158962 | Sharon Diane Fowler | Counselor | 5555 Conner St, Detroit, MI 48213-3448 | 2017-11-19 |
| 1346605847 | Shannon Crumbley | In Home Supportive Care | 5555 Conner St, 2079c, Detroit, MI 48213-3448 | 2015-12-28 |
| 1083080121 | Sonya Shelman | Social Worker | 5555 Conner St, Detroit, MI 48213-3448 | 2015-08-12 |
| 1629450960 | Marquetta Turner | Social Worker | 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 | 2015-06-23 |
| 1912317975 | Emerging Industries Training Institute, Inc. | Non-emergency Medical Transport (VAN) | 5555 Conner St, Suite 1600, Detroit, MI 48213-3448 | 2014-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| 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 |
|---|---|---|---|---|
| 1871138636 | Nancy Park | Dietitian, Registered | 1 Ford Pl # 5c, Detroit, MI 48202-3450 | 2019-11-15 |
| 1215581137 | Alyson Mcadams | Dietitian, Registered | 1000 Van Dyke St Apt 203, Detroit, MI 48214-2487 | 2019-07-29 |
| 1396288288 | Dawn Vergin | Dietitian, Registered | 22151 Moross Rd Ste 135, Detroit, MI 48236-2165 | 2016-11-23 |
| 1902286305 | Anjail Askew-ansari | Dietitian, Registered | 19136 Mendota St, Detroit, MI 48221-3216 | 2015-06-02 |
| 1356684815 | Hayward S Penny | Dietitian, Registered | 58 Parsons St, Detroit, MI 48201 | 2013-04-03 |
| 1881975506 | Julie L Fromm | Dietitian, Registered | 5254 Anthony Wayne Dr, Detroit, MI 48202-3924 | 2011-09-08 |
| 1295967834 | Kimberly Patrice Jones | Dietitian, Registered | 18641 Margareta St, Detroit, MI 48219-2930 | 2009-08-16 |
| 1457503690 | Jeanette Roger | Dietitian, Registered | 1151 Taylor St Dept Of, Nutrition Department - 2c, Detroit, MI 48202-1732 | 2008-10-21 |
| 1770741795 | Suzanne Scherer Burns | Dietitian, Registered | 15801 W Mcnichols Rd, Detroit, MI 48235-3543 | 2008-05-27 |
| 1437279627 | Pamela Kay Milan | Dietitian, Registered | 1 Ford Pl # 3a, Detroit, MI 48202-3450 | 2007-03-30 |
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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.