KIMBERLY ANN KELLY (NPI# 1144600115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144600115 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN KELLY |
| Credential | RD |
| Practice Address |
3550 Ballina Canyon Rd Encino CA 91436-4108 |
| Practice Telephone | 3109483801 |
| Practice Fax Number | 8889773086 |
| Mailing Telephone | 3109483801 |
| Mailing Fax Number | 8889773086 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1106458 | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083252878 | Kimberly Anne Kelly | Nurse Practitioner | 3056 Hickory St, Yorktown Heights, NY 10598-2734 | 2019-12-12 |
| 1023503919 | Kimberly Kelly | Counselor | 1382 Bull Lea Rd, Lexington, KY 40511-1247 | 2018-06-25 |
| 1265812085 | Kimberly Kelly | Counselor | 80 Kleyona Ave, Phoenixville, PA 19460-2568 | 2015-06-06 |
| 1922403955 | Kimberly C. Kelly | Behavioral Analyst | 62 Lowell St Ste 5, Manchester, NH 03101-1607 | 2014-11-04 |
| 1710390828 | Kimberly Kelly | Speech-Language Pathologist | 1313 Southside Cir, Nashville, TN 37212-2442 | 2014-06-05 |
| 1669727186 | Kimberly Kelly | Social Worker | 2750 Sutterville Road, Sacramento, CA 95820 | 2012-07-20 |
| 1174833966 | Kimberly Sue Kelly | Psychologist | 630 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2010-10-14 |
| 1245460120 | Kimberly A Kelly | Pharmacist | 8571 Rivers Ave, North Charleston, SC 29406-9208 | 2009-07-24 |
| 1992944870 | Kimberly Ann Kelly | Counselor | 114 E Bolton St, Pontotoc, MS 38863-1506 | 2009-02-17 |
| 1487815346 | Kimberly Dionne Kelly | Nurse Practitioner | 700 19th St S # 111-i, Birmingham, AL 35233-1927 | 2008-06-23 |
| Street Address |
3550 BALLINA CANYON RD |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1780130633 | Bahar Mona Solasi | Dietitian, Registered | 17208 Luverne Pl, Encino, CA 91316-3932 | 2016-08-31 |
| 1124457577 | Suzanne Malamud | Dietitian, Registered | 5460 White Oak Ave Unit F303, Encino, CA 91316-2413 | 2013-11-06 |
| 1033404371 | Jaymar Saniatan | Dietitian, Registered | 5460 White Oak Ave, E213, Encino, CA 91316-2401 | 2011-06-15 |
| 1669591400 | Lisa M Statner | Dietitian, Registered | 5500 Newcastle Ave, Apt 55, Encino, CA 91316-2133 | 2007-03-29 |
| 1841209079 | Lauren Beth Rogen | Dietitian, Registered | 5100 Gaynor Ave, Encino, CA 91436-1441 | 2006-08-05 |
| 1699224493 | Kathryn Soh Yoon Lee | Dietitian, Registered | 16550 Ventura Blvd Ste 318, Encino, CA 91436-5003 | 2016-09-22 |
| 1366622904 | Nicole Dana Meadow | Dietitian, Registered | 5400 Balboa Blvd, Suite 301, Encino, CA 91316-1502 | 2007-11-12 |
| 1114032547 | Marie D Feldman | Dietitian, Registered | 16030 Ventura Blvd, Suite 680, Encino, CA 91436-2731 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY ANN KELLY.
| 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.