AUTUMN ROSE KELLY (NPI# 1205232634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205232634 |
| Entity Type | Individual |
| Full Name | AUTUMN ROSE KELLY |
| Credential | RD, LD |
| Practice Address |
3 S 4th Ave Food and Nutrition Services Marshalltown IA 50158-2924 |
| Mailing Address |
23767 667th Ave Nevada IA 50201-7616 |
| Practice Telephone | 6417545271 |
| Mailing Telephone | 3194805574 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 002148 | IA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661842 | Autumn Kelly | Specialist/Technologist | 3300 Henry Ave Apt 522, Philadelphia, PA 19129-1160 | 2020-08-25 |
| 1245728419 | Autumn Margaret Kelly | Behavior Technician | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2018-04-24 |
| Street Address |
3 S 4TH AVE FOOD AND NUTRITION SERVICES |
| City | MARSHALLTOWN |
| State | IA |
| Zip Code | 50158-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
| 1912528902 | Andrea Bergdale | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-04-30 |
| 1992338222 | Marci Burns | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-14 |
| 1164054680 | Maria Gunnes Sibbel | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-12 |
| 1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
| 1306406681 | Brandy M Reints | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2019-06-18 |
| 1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
| 1073006698 | Callie M Williams | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-06-08 |
| 1487150991 | Mckenzie Mae Cooper | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-04-03 |
| 1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
| 1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
| 1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
| 1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
| 1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
| 1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
| 1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| 1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
| 1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
| Find all providers in zip 50158 | ||||
| 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 |
|---|---|---|---|---|
| 1811424476 | Jessica A Da Silva | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2017-05-15 |
| 1013456532 | Emmaline M Wright | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2017-02-16 |
| 1083157044 | Frances C Armstead | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2016-11-23 |
| 1558723635 | Rachel M. Scieszinski | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2016-03-28 |
| 1497114235 | Emily C Brown | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2016-02-22 |
| 1588023964 | Jena M. Hunt | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2016-02-15 |
| 1235596370 | Mckenzie L Stevens | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2016-01-20 |
| 1508291550 | Hannah Marie Jehring | Dietitian, Registered | 802 S Center St, Marshalltown, IA 50158-3350 | 2013-09-10 |
| 1467698449 | Central Iowa Healthcare | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2008-12-23 |
| 1073712857 | Jennifer Scales | Dietitian, Registered | 802 S Center St, Marshalltown, IA 50158-3350 | 2007-07-12 |
| Find all providers in MARSHALLTOWN | ||||
| City | MARSHALLTOWN |
| Zip Code | 50158 |
Please comment or provide details below to improve the information on AUTUMN ROSE 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.