KELLI KOSTELNIK (NPI# 1215189451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215189451 |
Entity Type | Individual |
Full Name | KELLI KOSTELNIK |
Credential | RD, LD |
Practice Address |
3401 Springhill Dr # 190 North Little Rock AR 72117-2924 |
Mailing Address |
Po Box 651 Mount Ida AR 71957-0651 |
Practice Telephone | 5019453669 |
Mailing Telephone | 8708677300 |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1076 | AR | Dietary & Nutritional Service Providers |
Street Address |
3401 SPRINGHILL DR # 190 |
City | NORTH LITTLE ROCK |
State | AR |
Zip Code | 72117-2924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184077802 | Anne M Hiegel | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2016-07-18 |
1972944064 | Gastro Clinics of Arkansas, Pllc | Specialist | 3401 Springhill Dr, Suite 400a, North Little Rock, AR 72117-2924 | 2013-07-17 |
1447556048 | Capes Dialysis LLC | Clinic/Center | 3401 Springhill Dr, Ste 190, North Little Rock, AR 72117-2924 | 2011-01-31 |
1205131869 | Dr Dave L Ouellette, Dds, Pa | Dentist | 3401 Springhill Dr, Suite 285, North Little Rock, AR 72117-2924 | 2011-01-12 |
1295963379 | Johnathan David Goodwin | Internal Medicine | 3401 Springhill Dr, Suite 400, North Little Rock, AR 72117 | 2009-06-26 |
1972730463 | Nicole Tidwell Turner | Registered Nurse | 3401 Springhill Dr, North Little Rock, AR 72117-2924 | 2009-06-11 |
1386825354 | Peyton E Rice Jr. | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2007-11-19 |
1386790137 | Shannon Case | Legal Medicine | 3401 Springhill Dr, Ste 390, North Little Rock, AR 72117-2924 | 2007-01-26 |
1922118496 | Gary W Fowler | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
1669582995 | Joanne M Wilson | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
Find all providers in zip 72117 |
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 |
---|---|---|---|---|
1568076792 | Sarah Keathley | Dietitian, Registered | 30 Sugar Creek Rd, North Little Rock, AR 72116-6332 | 2020-09-04 |
1407476245 | Brooke Ann Erickson | Dietitian, Registered | 3719 Lakeshore Dr, North Little Rock, AR 72116-9032 | 2020-04-22 |
1003462433 | Megan Elizabeth Ryan | Dietitian, Registered | 2200 Fort Roots Dr Rm 106, North Little Rock, AR 72114-1709 | 2019-08-12 |
1053826461 | Hannah Elizabeth Dresser | Dietitian, Registered | 2200 Fort Roots Dr Rm 203, North Little Rock, AR 72114-1709 | 2017-12-07 |
1154585875 | Laura Catherine Quick | Dietitian, Registered | 2200 Fort Roots Dr Bldg 32, North Little Rock, AR 72114-1709 | 2008-07-11 |
1700099397 | Leslie Sutton Mcnally | Dietitian, Registered | 12010 Timber Creek Rd, North Little Rock, AR 72118-1725 | 2007-05-08 |
1235220393 | Nina Faye Stagger | Dietitian, Registered | 2200 Fort Roots Dr # 120/nlr, North Little Rock, AR 72114-1709 | 2006-09-27 |
1679500755 | Ruth Ann Zellmer | Dietitian, Registered | Baptist Health Medical Center-north Little Rock, 3333 Springhill Dr., North Little Rock, AR 72114 | 2006-06-26 |
1578178000 | Jennifer Lea Meyers | Dietitian, Registered | 21 Bridgeway Rd, North Little Rock, AR 72113-9516 | 2020-09-11 |
1689211732 | Lsm-newtrition P.l.c. | Dietitian, Registered | 12010 Timber Creek Rd, North Little Rock, AR 72118-1725 | 2019-12-09 |
Find all providers in NORTH LITTLE ROCK |
City | NORTH LITTLE ROCK |
Zip Code | 72117 |
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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.