KELLI KOSTELNIK


Address: 3401 Springhill Dr, # 190, North Little Rock, AR 72117-2924
Phone: 5019453669

KELLI KOSTELNIK (NPI# 1215189451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1076 AR Dietary & Nutritional Service Providers

Office Location

Street Address 3401 SPRINGHILL DR
# 190
City NORTH LITTLE ROCK
State AR
Zip Code 72117-2924

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NORTH LITTLE ROCK
Zip Code 72117

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Dataset Information

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.

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