| Katherine Jane Boss, RD, CSP | |
|
25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | |
| (616) 267-9150 | |
| Not Available |
| Full Name | Katherine Jane Boss |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
| Location | 25 Michigan St Ne Ste 4200, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639842545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (Michigan) | Primary |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Jane Boss, RD, CSP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Katherine Jane Boss, RD, CSP 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 Ph: (616) 267-9150 |
Janet Dominowski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-267-8950 Fax: 616-267-8585 | |
Erika S Geile, DIETICIAN, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-752-6235 Fax: 616-752-6324 | |
Megan Nicole Hannon, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 Phone: 616-486-9830 | |
Rose Britt, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8156 | |
Krista M Gast, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503 Phone: 616-486-0385 | |
Amy Robinson-defouw, MA, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Kristen Marie Swendrowski, RD, PA-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828 |