Lisa Roosien, RD | |
1500 E Beltline Ave Se, Grand Rapids, MI 49506-4361 | |
(616) 238-4786 | |
Not Available |
Full Name | Lisa Roosien |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1500 E Beltline Ave Se, 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 |
---|---|---|---|
1104312859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 915921 (Michigan) | Primary |
Provider Name | Hope Network - Rehabilitation Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528043544 PECOS PAC ID: 9234231440 Enrollment ID: O20090316000098 |
Mailing Address | Practice Location Address |
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Lisa Roosien, RD 1500 E Beltline Ave Se, Grand Rapids, MI 49506-4361 Ph: () - | Lisa Roosien, RD 1500 E Beltline Ave Se, Grand Rapids, MI 49506-4361 Ph: (616) 238-4786 |
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 |