STACEY NIESEN (NPI# 1922483809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922483809 |
| Entity Type | Individual |
| Full Name | STACEY NIESEN |
| Practice Address |
2215 44th St Se Grand Rapids MI 49508-5013 |
| Practice Telephone | 6162528339 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1041435 | MI | Dietary & Nutritional Service Providers |
| Street Address |
2215 44TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| 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 |
|---|---|---|---|---|
| 1316575988 | Sarah Flessner | Dietitian, Registered | 100 Michigan St Ne # Mc84, Grand Rapids, MI 49503-2560 | 2020-03-30 |
| 1790311025 | Mitchell Paul Mrozik | Dietitian, Registered | 3308 Statesman Ct Ne, Grand Rapids, MI 49525-2685 | 2020-03-18 |
| 1881224665 | Darleena Scholten | Dietitian, Registered | 4520 Bonneville Dr Ne, Grand Rapids, MI 49525-1315 | 2020-01-22 |
| 1306320577 | Elizabeth Ames Eggleston | Dietitian, Registered | 7508 Whispering Ridge St Se, Grand Rapids, MI 49546-9168 | 2018-09-24 |
| 1457706707 | Patricia Ann Tucker | Dietitian, Registered | 4490 Bonanza Dr Ne, Grand Rapids, MI 49525-6848 | 2016-04-24 |
| 1477911352 | Rachel Laughlin | Dietitian, Registered | 4201 Kings Row Ct Nw, Grand Rapids, MI 49534-3495 | 2016-02-05 |
| 1174944888 | Laura Brechting | Dietitian, Registered | 4 Union Ave Ne, Grand Rapids, MI 49503-3430 | 2013-12-23 |
| 1154769941 | Nancy Ann Ullrey | Dietitian, Registered | 3596 Tricklewood Dr Se, Grand Rapids, MI 49546-7246 | 2013-06-13 |
| 1104173251 | Denise Lynn Kesterke | Dietitian, Registered | 1450 Fulton St E, Grand Rapids, MI 49503-3854 | 2012-08-08 |
| 1437398930 | Kristin Lynn Howe | Dietitian, Registered | 1085 4 Mile Rd Ne, Grand Rapids, MI 49525-2650 | 2009-02-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on STACEY NIESEN.
| 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.