MS. MICHAEL ANN KELLY (NPI# 1083054993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083054993 |
| Entity Type | Individual |
| Full Name | MS. MICHAEL ANN KELLY |
| Credential | M.S., R.D., L.D.N. |
| Practice Address |
1 Kish Hospital Dr Dekalb IL 60115-9602 |
| Mailing Address |
205 W South St Dwight IL 60420-1238 |
| Practice Telephone | 8157561521 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.005938 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389874 | Michael Kelly | Physical Therapist | 1025 Service Pl Ste 200, Vista, CA 92084-7271 | 2020-09-03 |
| 1871949115 | Michael John Kelly | Speech-Language Pathologist | 3484 Fair Oaks Ave, Bowling Green, KY 42104-5529 | 2016-05-05 |
| 1003206004 | Michael Sean Kelly | Nurse Practitioner | 17601 17th St Ste 120, Tustin, CA 92780-1946 | 2015-01-28 |
| 1295135515 | Michael Kelly | Technician, Other | 2215 E 36 1/2 St, Minneapolis, MN 55407-3018 | 2014-08-25 |
| 1225310675 | Michael Thomas Kelly | Pathology | 4156 H Street Rd, Blaine, WA 98230-9228 | 2011-09-12 |
| 1205085073 | Michael H Kelly | Massage Therapist | 76 Bosse Ln, West Seneca, NY 14224-1624 | 2008-09-16 |
| 1275780041 | Michael Foster Kelly | Acupuncturist | 8 Wells Ave, Yonkers, NY 10701-2710 | 2008-08-25 |
| 1346458031 | Michael Francis Kelly | Registered Nurse | 79 Trausneck Pl, Yonkers, NY 10703-1907 | 2007-05-18 |
| 1104045707 | Michael Walter Kelly | Pharmacist | College of Pharmacy, 110 Pharmacy Building, Iowa City, IA 52242-1112 | 2007-04-24 |
| 1710105358 | Michael Kelly | Physical Therapist | 1600 E. Jefferson St., Seattle, WA 98122 | 2007-04-20 |
| Street Address |
1 KISH HOSPITAL DR |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626194 | Connie M Bruch-harrison | Anesthesiology | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2005-08-10 |
| 1891394417 | Olivia Burton | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-10-23 |
| 1962019687 | Helen Elizabeth Rayburn | Registered Nurse | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-09-27 |
| 1932715570 | Julie Renee Long | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-09-18 |
| 1346878451 | Allison Smith | Nurse Anesthetist, Certified Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2020-04-01 |
| 1679118301 | Kelly P Lopez | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-11-18 |
| 1366095333 | Godwin Roy Esquillo Flores | Nurse Practitioner | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-07-18 |
| 1275186330 | Melissa Romano | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-07-18 |
| 1932666385 | Rebecca Andrews | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-02-21 |
| 1093214249 | Cassandra Katzenberger | Registered Nurse | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962453290 | Peggy L Marchini | Dietitian, Registered | 9 Health Services Dr, Kishwaukee Community Hospital Diabetes Education Dept., Dekalb, IL 60115-9601 | 2006-05-12 |
| 1275186330 | Melissa Romano | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-07-18 |
| 1932666385 | Rebecca Andrews | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2019-02-21 |
| 1508259250 | Monique E Slad | Dietitian, Registered | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2015-03-05 |
| 1033122650 | Rajni M Sud | Dietitian, Registered | 217 Franklin St, Dekalb, IL 60115-3742 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.