MRS. KELLY LYNN SCANLON (NPI# 1104067073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104067073 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN SCANLON |
| Credential | C.N (INTERN STUDENT) |
| Practice Address |
1344 Beaverbrook Dr Holly MI 48442-8628 |
| Practice Telephone | 2486343014 |
| Mailing Telephone | 2486343014 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770828352 | Kelly Scanlon | Dietitian, Registered | 1773 Bluewood Ct, Concord, CA 94521-2108 | 2012-12-07 |
| 1821530320 | Kelly Scanlon | Occupational Therapist | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2016-11-15 |
| 1740738152 | Kelly Jacobson Scanlon | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2016-09-14 |
| Street Address |
1344 BEAVERBROOK DR |
| City | HOLLY |
| State | MI |
| Zip Code | 48442-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527195 | Tina Marie Graves | Intermediate Care Facility, Mentally Retarded | 16065 Fish Lake Rd, Holly, MI 48442 | 2018-05-07 |
| 1831627926 | Emily Marie Ulewicz | Occupational Therapist | 10483 Dixie Highway, Holly, MI 48442 | 2017-06-01 |
| 1427411305 | Amy Jacobs | Occupational Therapist | 10293 S Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1912360892 | Kathryn Ann Garza | Occupational Therapist | 10293 S. Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1730502030 | Jonathan Aldric Potvin | Physical Therapist | 10293 Saginaw Rd, Holly, MI 48442 | 2014-01-23 |
| 1558645572 | Jonathan Boutni | Physical Therapist | 10293 Dixie Highway, Suite 0, Holly, MI 48442 | 2011-10-10 |
| 1770875049 | Donald Mackenzie | Pharmacist | 15242 N Holly Rd, Holly, MI 48442 | 2011-05-05 |
| 1235333295 | Michael Martin Katz | Psychologist | 15249 Fish Lake Rd, Holly, MI 48442 | 2007-06-13 |
| 1629114293 | Fred T Phillips | Dentist | 503 S Broad St, Holly, MI 48442 | 2007-01-30 |
| 1053495648 | Rose Hill Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5130 Rose Hill Blvd, Holly, MI 48442 | 2006-10-24 |
| Find all providers in zip 48442 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062867 | Stephanie Kennedy | Nutritionist | 207 E Baltimore St, Detroit, MI 48202-3278 | 2020-10-27 |
| 1316562861 | Knowingly Nourished, LLC | Nutritionist | 6642 S Lake Shore Dr # Di, Harbor Springs, MI 49740-9785 | 2020-06-10 |
| 1841826336 | Christine Frazier | Nutritionist | 144 St Clair Cir, Brooklyn, MI 49230-8358 | 2020-03-17 |
| 1194375311 | Health Coach Shalynne, LLC. | Nutritionist | 21751 W 11 Mile Rd Ste 208, Southfield, MI 48076-3780 | 2019-09-19 |
| 1952968109 | Zelda Felix-mottley | Nutritionist | 1737 Hillandale Rd, Benton Harbor, MI 49022-9630 | 2019-05-23 |
| 1801450085 | Lana Coxton Nutrition LLC | Nutritionist | 23077 Greenfield Rd Ste 479, Southfield, MI 48075-3769 | 2019-04-23 |
| 1811472269 | Green Apple Nutrition Services LLC | Nutritionist | 7252 Andover Dr, Canton, MI 48187-1130 | 2018-10-02 |
| 1801386768 | Andrea Melissa Aguilar Corrales | Nutritionist | 1715 Lansing Ave Ste 257, Jackson, MI 49202-2193 | 2018-05-16 |
| 1487144846 | Laura Ann Anderson | Nutritionist | 121 S Church St, Hastings, MI 49058-1817 | 2018-05-11 |
| 1528586781 | Kelly J Dukarski | Nutritionist | 4 Columbus Ave Ste 240, Bay City, MI 48708-6472 | 2017-09-07 |
| Find all providers with the same taxonomy | ||||
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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.