Julie M Shereda

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

5758 Cooley Lake Rd
Waterford, MI 48327-3073

Phone

(855) 466-3631

Fax

(810) 244-0226

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Ideal Enterprises Inc.

  • General Practice Physician
  • Southfield, MI
  • NPI 1740478270
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1023260494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD",
            "address_2": "306",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713473",
            "telephone_number": "248-546-1171",
            "fax_number": "248-546-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 COOLEY LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273073",
            "telephone_number": "855-466-3631",
            "fax_number": "810-244-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27301 Dequindre Rd",
            "address_2": "306",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713473",
            "country_code": "US",
            "telephone_number": "248-546-1171",
            "fax_number": "248-546-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEREDA",
        "first_name": "JULIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5255236",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamee Elise Shatzer
• Arlene M Shearer, R.PH.
• Amanda Marie Sheehan, DDS
• C Sheehan
• Lauren Shelton
• Penny L Sherwood, RN, BSN
• Gordon Barry Shlom, DDS
• Shoshana Hallowell MD PLLC
• Lowell R Showalter
• Tina Shriner

• Registered Dietitian in Waterford, MI
• Providers in Waterford, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.