MRS. KELLI DOMINICK (NPI# 1346555703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346555703 |
| Entity Type | Individual |
| Full Name | MRS. KELLI DOMINICK |
| Credential | M.ED., LD, RD, CDE |
| Practice Address |
712 S Cypress St Vivian LA 71082-3206 |
| Practice Telephone | 3183752356 |
| Mailing Telephone | 3183752356 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 1270 | LA | Dietary & Nutritional Service Providers |
| N | 133N00000X | Nutritionist | DT05308 | TX | Dietary & Nutritional Service Providers |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
1270 | LA | Dietary & Nutritional Service Providers |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
DT05308 | TX | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 1270 | LA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | DT05308 | TX | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1270 | LA | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DT05308 | TX | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
1270 | LA | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
DT05308 | TX | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1270 | LA | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DT05308 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659661742 | Kelli Dominick | Psychiatry & Neurology | 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026 | 2011-04-11 |
| Street Address |
712 S CYPRESS ST |
| City | VIVIAN |
| State | LA |
| Zip Code | 71082-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
| 1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
| 1720213614 | Constance La'shay Hall | Occupational Therapy Assistant | 912 South Pecan St, Vivian Healthcare Center, Vivian, LA 71082 | 2009-05-20 |
| 1124155411 | North Caddo Medical Center Healthplex | Public Health or Welfare | 102 Industrial Drive, Vivian, LA 71082 | 2007-02-27 |
| 1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
| 1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
| 1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
| 1194882829 | James R Mccormick | Dentist | 117 N Pine St, Vivian, LA 71082-2743 | 2007-01-02 |
| 1225542178 | Wright Way Behavioral Health Center | Community/Behavioral Health | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2017-11-29 |
| 1689200255 | Richida Shepard | Social Worker | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2020-03-16 |
| Find all providers in zip 71082 | ||||
| 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 |
|---|---|---|---|---|
| 1073838710 | Andrea Lynn Braniff | Dietitian, Registered | 1000 S Spruce St, Vivian, LA 71082-3232 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| 1609474683 | Katie Bilello | Dietitian, Registered | 142 Rue Marguerite Ste B, Thibodaux, LA 70301-6708 | 2020-10-13 |
| 1649877135 | Hope S Gardner | Dietitian, Registered | 1500 Elderberry Loop, Mandeville, LA 70448-7095 | 2020-10-07 |
| 1861008757 | Kendra R Lafountain | Dietitian, Registered | 5732 North Dr, Alexandria, LA 71301-2542 | 2020-09-16 |
| 1932715802 | Rachel Boogaerts Hanes | Dietitian, Registered | 1910 Knowles Dr, Ruston, LA 71270-2615 | 2020-09-16 |
| 1871108993 | Verdin Enterprises, LLC | Dietitian, Registered | 164 Pattontown Road, Homer, LA 71048 | 2020-09-15 |
| 1538774203 | Tammi Michele Verdin | Dietitian, Registered | 164 Patten Town Road, Lisbon, LA 71048 | 2020-09-10 |
| 1386258267 | Amanda Marie Gibson | Dietitian, Registered | 204 Holiday Dr, Houma, LA 70364-2644 | 2020-09-08 |
| 1083228951 | Julia Palmisano Porche | Dietitian, Registered | 218 Exeter Run, Houma, LA 70360-8060 | 2020-09-08 |
| 1528672235 | Callie Champagne | Dietitian, Registered | 3434 Highway 1, Raceland, LA 70394-3424 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.