KELLEY KIERNAN (NPI# 1215992433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215992433 |
| Entity Type | Individual |
| Full Name | KELLEY KIERNAN |
| Credential | RD |
| Practice Address |
4700 E Iliff Ave Denver CO 80222-6025 |
| Practice Telephone | 3035848900 |
| Practice Fax Number | 7205249475 |
| Mailing Telephone | 3035848900 |
| Mailing Fax Number | 7205249475 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
4700 E ILIFF AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80222-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821089608 | Dana M Coutts | Physician Assistant | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2005-11-02 |
| 1306216627 | Haley Shears Chiado | Physician Assistant | 4700 E Iliff Ave, Denver, CO 80222 | 2015-09-29 |
| 1730475971 | Sarah Van Duzer-moore Md PC | Internal Medicine | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2011-06-27 |
| 1760715825 | Shari L Logan | Nurse Practitioner | 4700 E Iliff Ave, Denver, CO 80222 | 2009-09-08 |
| 1447462510 | Richard J Flanigan Md | Specialist | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2007-05-03 |
| 1154465938 | Colleen M Busch | Nurse Practitioner | 4700 E Iliff Ave, Denver, CO 80222 | 2007-02-16 |
| 1598835894 | Kristin E Haber | Internal Medicine | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2006-11-08 |
| 1326154014 | Gretchen A Frey | Obstetrics & Gynecology | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2006-08-22 |
| 1982658704 | Daneen Shelton | Specialist | 4700 E Iliff Ave, Denver, CO 80222 | 2006-05-19 |
| 1679523229 | Joel Alan Berenbeim | Neuromusculoskeletal Medicine & OMM | 4700 E Iliff Ave, Denver, CO 80222-6025 | 2006-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1275134157 | Lillian Mary Berman | Dietitian, Registered | 4343 Montview Blvd, Denver, CO 80207-3727 | 2020-11-05 |
| 1598364101 | Alyssa Thomas | Dietitian, Registered | 2500 S York St Apt 304, Denver, CO 80210-5260 | 2020-10-23 |
| 1598363046 | Aryn K Doll | Dietitian, Registered | 1515 W Alaska Pl, Denver, CO 80223-1901 | 2020-10-15 |
| 1194323766 | Talia Adler | Dietitian, Registered | 1090 N Lafayette St Apt 502, Denver, CO 80218-3153 | 2020-10-15 |
| 1265047054 | Elizabeth H Kealey | Dietitian, Registered | 2535 W 35th Ave, Denver, CO 80211-2846 | 2020-09-09 |
| 1881205003 | Riley M Peterson | Dietitian, Registered | 1145 N Downing St, Denver, CO 80218-2915 | 2020-08-11 |
| 1902416779 | Naomi Solomon | Dietitian, Registered | 3725 E Buchtel Blvd, Apt 421, Denver, CO 80210-8021 | 2020-08-05 |
| 1467061598 | Rebekah Agard | Dietitian, Registered | 1379 S Logan St, Denver, CO 80210-2222 | 2020-07-24 |
| 1205450343 | Ashley Sigmund | Dietitian, Registered | 1240 Xavier St, Denver, CO 80204-1018 | 2020-06-04 |
| 1366065435 | Monica Salafia | Dietitian, Registered | 978 Krameria St, Denver, CO 80220-4617 | 2020-05-24 |
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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.