Kathryn Noel Misenheimer, MS, RD, LDN, CDCES | |
185 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7580 | |
(410) 224-4553 | |
(410) 224-8898 |
Full Name | Kathryn Noel Misenheimer |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 185 Harry S Truman Pkwy Ste 120, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881042281 | NPI | - | NPPES |
261745725 | Other | NC | AETNA |
261745725 | Other | NC | BLUE CROSS AND BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L004643 (North Carolina) | Secondary |
133V00000X | Dietitian, Registered | DX4420 (Maryland) | Primary |
Provider Name | Luminis Health Medical Group, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Noel Misenheimer, MS, RD, LDN, CDCES 180 Old Bight Ct, Edgewater, MD 21037-2606 Ph: (704) 962-7848 | Kathryn Noel Misenheimer, MS, RD, LDN, CDCES 185 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7580 Ph: (410) 224-4553 |
Rdiabetes Empowermnt Llc Dietitian Medicare: Medicare Enrolled Practice Location: 192a S Southwood Ave, Annapolis, MD 21401 Phone: 410-487-2779 Fax: 410-280-2278 | |
Ashford Holdings Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Coachway, Annapolis, MD 21401 Phone: 917-691-2681 | |
Rachel Chun, PA-C, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy Ste 600, Annapolis, MD 21401 Phone: 443-481-6699 | |
Lilah Al-masri, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Wood Rd, Annapolis, MD 21402 Phone: 410-293-4378 | |
Mrs. Allison Maurer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 600, Annapolis, MD 21401 Phone: 443-481-6699 Fax: 443-481-6713 |