BEVERLY KUZNICKI (NPI# 1942316716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942316716 |
| Entity Type | Individual |
| Full Name | BEVERLY KUZNICKI |
| Credential | M.A., R.D. |
| Practice Address |
5325 Elliott Dr Suite 201 Ypsilanti MI 48197-8633 |
| Practice Telephone | 7347128000 |
| Practice Fax Number | 7347128010 |
| Mailing Telephone | 7347128000 |
| Mailing Fax Number | 7347128010 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
00803637 | MI | Dietary & Nutritional Service Providers |
| Street Address |
5325 ELLIOTT DR SUITE 201 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237387 | Susan R. Illikman | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2005-07-05 |
| 1710533799 | Catherine I Giles | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2019-08-14 |
| 1083102214 | Christine Glowacki | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2018-04-24 |
| 1619488384 | Elizabeth H Stalder | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197 | 2017-10-20 |
| 1609312420 | Terri Lynn Trombley | Registered Nurse | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2017-01-18 |
| 1235685041 | Diana Rego | Nurse Practitioner | 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | 2016-08-31 |
| 1184170524 | Cristina Hauncher | Dietitian, Registered | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-26 |
| 1629524194 | Zachary Ryan York | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-25 |
| 1225583362 | Kathleen Ritzert | Nurse Practitioner | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-18 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568724011 | Kate Jones Share | Nutritionist | 47 N Huron St, Ypsilanti, MI 48197-2607 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786361 | Kristy Jo Putnam | Nutritionist | 19246 Three Oaks Rd, Three Oaks, MI 49128-9511 | 2020-09-27 |
| 1932717071 | Patricia Marshall | Nutritionist | 23441 Wildwood St, Oak Park, MI 48237-2424 | 2020-07-15 |
| 1821627100 | Brendan Harms | Nutritionist | 53919 Atherton St, New Baltimore, MI 48047-5832 | 2020-04-07 |
| 1740827096 | Theresa Kimberly Matthews | Nutritionist | 3920 Rivard St Apt 824, Detroit, MI 48207-4746 | 2019-12-05 |
| 1033773866 | Ruth Ranks | Nutritionist | 24651 Naples Dr, Novi, MI 48374-2982 | 2019-04-26 |
| 1144788605 | Nolana Nobles | Nutritionist | 28690 Southfield Rd Ste 101b, Lathrup Village, MI 48076-2728 | 2019-03-04 |
| 1790275352 | Sheilah Hebert | Nutritionist | 446 W Circle Dr, East Lansing, MI 48824-3704 | 2018-05-18 |
| 1295225472 | Naomi Hyso | Nutritionist | West Shore Community College Rec Center, 3000 Stiles Rd, Scottville, MI 49454 | 2018-05-14 |
| 1184113227 | Lisa A Smith | Nutritionist | 743 Beaubien St Apt 542, Detroit, MI 48226-2953 | 2018-05-03 |
| 1538696216 | Rachel Fitchett | Nutritionist | 880 W Dryden Rd, Metamora, MI 48455-8901 | 2017-05-12 |
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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.