Carmen Haddad, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

64 Regal PL
Grosse Pointe Shores, MI 48236-1460

Phone

(586) 354-7995

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• Sensible Nutrition

  • Registered Dietitian
  • Taylor, MI
  • NPI 1063112506

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1285340612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 REGAL PL",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 REGAL PL",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482361460",
            "telephone_number": "586-354-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "CARMEN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Amin Ariani, MD
• Joseph M Beals, MD
• Mark Boctor, M.D.
• Leslie Christopher Deskins, LLP
• Chelsea Griffin
• Harmony Life Therapy LLC
• Fionna Dawn Kasuba
• Sydney Elizabeth Kummer, PA-C
• Lauren Latiff
• Robert E Lee, MD

• Registered Dietitian in Grosse Pointe Shores, MI
• Providers in Grosse Pointe Shores, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.