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Deactivated NPI 1235598590 Deactivated / Inactive NPI Female Practitioner

Maxine Edwards

Dietitian, Registered • Canton, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Maxine Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2016
NPI Deactivation Date January 07, 2019
Total Practice Duration ~3 Years of Practice (2016 – 2019)

Professional Overview & Biography Verified Profile Summary

Maxine Edwards was a registered Dietitian, Registered practicing in Canton, MI. Throughout an active medical career spanning 3 years, Maxine Edwards provided care at the practice location at 4639 TIMBERLINE DR until profile deactivation on 2019-01-07.

Practice Location & Contact Primary Location

Practice Address

4639 Timberline Dr

Canton, MI 481882210

Telephone 2487971615
Associated Practice Facility / Clinic
🏢 Nutrition To The Max Llc Facility NPI 1134582778

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Canton, MI (1846 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 07, 2019

Record deactivated on January 07, 2019

NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2016

Registered at 4639 TIMBERLINE DR, CANTON, MI 481882210 (Tel: 2487971615)

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Updated Business Mailing Address February 15, 2016

Registered at 4639 TIMBERLINE DR, CANTON, MI 481882210 (Tel: 2487971615)

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Provider Name / Credentials Updated February 15, 2016

Recorded as MAXINE EDWARDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Dietitian, Registered

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Initial NPI Registration & Enumeration February 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235598590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2016
Last Update: February 15, 2016
Deactivation Date: January 07, 2019

Mailing Address

4639 Timberline Dr

Canton, MI 481882210

Phone: 2487971615

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.