MRS. ERIN M. KELLY (NPI# 1508030073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508030073 |
| Entity Type | Individual |
| Full Name | MRS. ERIN M. KELLY |
| Credential | R.D., L.D.N. |
| Practice Address |
3001 Green Bay Road North Chicago IL 60064 |
| Mailing Address |
33 N. Ridgemoor Ave Mundelein IL 60060 |
| Practice Telephone | 8476363786 |
| Mailing Telephone | 8476363786 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PART B | L91589 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505884 | Erin Elizabeth Kelly | Occupational Therapist | 88 Cherry St, Floral Park, NY 11001-3342 | 2019-08-29 |
| 1548728140 | Erin Marie Kelly | Counselor | 12630 Ann St, Blue Island, IL 60406-1704 | 2019-03-04 |
| 1962976936 | Erin Kelly | Physical Therapist | 718 N Main St Unit 18, Gunnison, CO 81230-2412 | 2019-01-14 |
| 1215416409 | Erin Kelly | Occupational Therapist | 1887 Barthgate Ave, Bronx, NY 10457 | 2018-08-09 |
| 1285147421 | Erin E Kelly | Social Worker | 311 S Craig St Ste 300, Pittsburgh, PA 15213-3731 | 2017-11-09 |
| 1568974871 | Erin Kelly | Speech-Language Pathologist | 875 Poplar Church Rd Ste 320, Camp Hill, PA 17011-2203 | 2017-10-26 |
| 1790238566 | Erin Kelly | Dietitian, Registered | 4580 Lincklaen Rd, Cazenovia, NY 13035-9756 | 2016-07-28 |
| 1154733525 | Erin Kelly | Case Manager/Care Coordinator | 1150 S Olive St, Los Angeles, CA 90015-2211 | 2014-05-20 |
| 1780028464 | Erin Shigeko Kelly | General Practice | 2708 Greenfield Ave, Los Angeles, CA 90064-4032 | 2013-04-24 |
| 1619218997 | Erin Kelly | Counselor | 4440 Beard Ave S Apt 308, Minneapolis, MN 55410-1465 | 2013-03-11 |
| Street Address |
3001 GREEN BAY ROAD |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912964461 | Ron A Lepianka | Dentist | 3001 Green Bay Road, North Chicago, IL 60064 | 2006-04-27 |
| 1992261366 | Ariela Yasova-zaffos | Psychologist | 3001 Green Bay Road, 16b (b7, Room 224), North Chicago, IL 60004 | 2019-02-11 |
| 1235685801 | Benjamin Schwabe | Dentist | 3001 Green Bay Road, Captain James A Lovell Fhcc, North Chicago, IL 60064 | 2016-09-01 |
| 1396115283 | Dominica Portman | Dentist | 3001 Green Bay Road, North Chicago, IL 60064 | 2015-10-05 |
| 1710309679 | Glenn Abelbert Coon IIi | Nurse Practitioner | 3001 Green Bay Road, North Chicago, IL 60064 | 2014-01-13 |
| 1194077750 | Vivian Ibe | Pharmacist | 3001 Green Bay Road, Dept. of Pharmacy, James A. Lovell Fed. Healthcare Ctr., North Chicago, IL 60064 | 2012-10-08 |
| 1326344730 | David Martin Garcia | Kinesiotherapist | 3001 Green Bay Road, North Chicago, IL 60064 | 2011-02-02 |
| 1548452360 | Shaunte R Pohl | Pharmacist | 3001 Green Bay Road, North Chicago, IL 60064 | 2007-08-15 |
| 1922207489 | Howard Kyinwah Chey | Family Medicine | 3001 Green Bay Road, Captain James A. Lovell Fhcc, North Chicago, IL 60064 | 2007-07-15 |
| 1316056518 | Ronald Walter Braasch Jr. | Psychologist | 3001 Green Bay Road, Building 11, North Chicago, IL 60064 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| 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 |
|---|---|---|---|---|
| 1891121505 | Nora Koch | Dietitian, Registered | 3001 Green Bay Rd Rm 110, North Chicago, IL 60064-3048 | 2013-09-25 |
| 1942848478 | Hristina Tasevski | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-12-16 |
| 1992095459 | Scott Michael Nygren | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2011-04-18 |
| 1720236375 | Nancy L Podowski | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2008-09-08 |
| 1578749925 | Wendy Ottosen | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2008-01-16 |
| 1871623157 | Isamali Carani | Dietitian, Registered | 3471 Green Bay Rd, North Chicago, IL 60064-3090 | 2007-03-06 |
| 1841309796 | Roberta Ann Cooper_meyer | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-30 |
| 1811003668 | Amy Marie Zurcher | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-22 |
| 1538274774 | Lenore Elizabeth Frydrychowicz | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-20 |
| 1881707198 | Sara Suzanne Miller | Dietitian, Registered | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2006-08-17 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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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.