MRS. CONNIE JEAN STEFANSKI


Address: 11800 E 12 Mile Road, St John Macomb Hospital Pt Education Dept Mec, Warren, MI 48093-3472
Phone: 5865735697

MRS. CONNIE JEAN STEFANSKI (NPI# 1962660506) 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) 1962660506
Entity Type Individual
Full Name MRS. CONNIE JEAN STEFANSKI
Credential RD
Practice Address 11800 E 12 Mile Road
St John Macomb Hospital Pt Education Dept Mec
Warren
MI 48093-3472
Practice Telephone 5865735697
Practice Fax Number 5865764119
Mailing Telephone 5865735697
Mailing Fax Number 5865764119
Enumeration Date 2008-05-30
Last Update Date 2008-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 712110 MI Dietary & Nutritional Service Providers

Office Location

Street Address 11800 E 12 MILE ROAD
ST JOHN MACOMB HOSPITAL PT EDUCATION DEPT MEC
City WARREN
State MI
Zip Code 48093-3472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528074416 Bradley Frank Gutierrez Emergency Medicine 11800 E 12 Mile Road, St John Macomb Hospital Dept of Emergency Medicine, Warren, MI 48093 2006-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
Find all providers in zip 48093

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
1154937753 Colleen Wojdyla Dietitian, Registered 31424 Iroquois Dr, Warren, MI 48088-7009 2020-09-18
1437701240 Sara M. Szatkowski Dietitian, Registered 3849 Dora Dr, Warren, MI 48091-6106 2019-07-11
1477111003 Elle Marie Bernardo Dietitian, Registered 31 Saw Mill Rd, Warren, NJ 07059-5103 2019-05-29
1205369592 Leigh Marchio Dietitian, Registered 1523 Den Jean Dr Ne, Warren, OH 44483-4313 2017-04-04
1447495809 Denise Stys Marecki Dietitian, Registered 30061 Schoenherr Rd., Suite C, Warren, MI 48088 2008-12-12
1659567592 Grace Derocha Dietitian, Registered 30158 Trailwood Dr, Warren, MI 48092-6304 2007-09-24
1902961659 Lori Kolodin Dietitian, Registered 6 Schindelar Woods Way, Warren, NJ 07059-6851 2006-12-23
1205998622 Andrea Berez Dietitian, Registered 17 Cambridge Dr, Warren, NJ 07059-6940 2006-12-14
1396794848 Nancy Ann Lambert Dietitian, Registered 667 Eastland Avenue S.e., Warren, OH 44484 2006-05-10
1194340893 Shannon Cairns Dietitian, Registered 1460 Tod Ave Nw, Warren, OH 44485-2407 2020-06-09
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 48093

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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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