KELLI JO WILMES (NPI# 1417576042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417576042 |
| Entity Type | Individual |
| Full Name | KELLI JO WILMES |
| Credential | RD, LD |
| Practice Address |
12847 State Highway Yy Elmo MO 64445-8209 |
| Practice Telephone | 6602152046 |
| Mailing Telephone | 6602152046 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 2009028340 | MO | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 099245 | IA | Dietary & Nutritional Service Providers |
| Street Address |
12847 STATE HIGHWAY YY |
| City | ELMO |
| State | MO |
| Zip Code | 64445-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595113 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 33116 Us Highway 93 North, Elmo, MT 59915-7707 | 2020-07-10 |
| 1932698958 | Deborah R. Farris | Registered Nurse | 33116 Us Hwy N., Elmo, MT 59915 | 2018-05-04 |
| 1700339900 | Sarah A.s. Meeks | Registered Nurse | 33116 Us Hwy 93 N, Elmo, MT 59915 | 2016-07-25 |
| 1396119491 | Fastighet Management | Assisted Living Facility | 15 W 100 N, Elmo, UT 84521 | 2015-11-30 |
| 1568857100 | Kalispell Denture Studio, LLC | Clinical Medical Laboratory | 79531 Us Highway 93, Elmo, MT 59915-9726 | 2015-03-31 |
| 1790108124 | Niya C. Billeadeaux | Registered Nurse | 33116 U.S. Hwy 93 N., Elmo, MT 59914 | 2014-01-21 |
| 1649318718 | Christie Lee Larocque | Registered Nurse | 127 Main Ktunaxa, Elmo, MT 59915 | 2007-02-02 |
| 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 |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
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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.