Active NPI
Sherri Temple Isaak, MS, CDE
- Registered Dietitian
- Granger, IN
National Provider Identifier
1942272398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001649A
- Practice address
- 6913 N Main St
Granger, IN 46530-9601 - Phone
- (574) 647-6400
- Fax
- (574) 647-2591
- NPI assigned
- Feb 1, 2006
- Last updated
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001649A | IN | Primary |
Addresses
Primary practice location
6913 N Main St
Granger, IN 46530-9601
Mailing address
328 N Michigan St
Suite 200
South Bend, IN 46601-1244
Phone (248) 763-8107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37001649A | Other | IN | PROFESSONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| St Mary Mercy Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1942272398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 N MICHIGAN ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011244",
"telephone_number": "248-763-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 N MAIN ST",
"city": "GRANGER",
"state": "IN",
"postal_code": "465309601",
"telephone_number": "574-647-6400",
"fax_number": "574-647-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAK",
"first_name": "SHERRI",
"middle_name": "TEMPLE",
"credential": "MS, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001649A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSONAL LICENSE",
"identifier": "37001649A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.