KELLY SHAUGHNESSY (NPI# 1528604113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528604113 |
| Entity Type | Individual |
| Full Name | KELLY SHAUGHNESSY |
| Credential | RD BS |
| Practice Address |
749 Teaberry St Encinitas CA 92024-3353 |
| Practice Telephone | 6619938710 |
| Mailing Telephone | 6619938710 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1073135 | CA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 749 Teaberry St, Encinitas, CA 920243353 | 6619938710 |
| Street Address |
749 TEABERRY ST |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| 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 |
|---|---|---|---|---|
| 1972100170 | Tracy Leona Pompeo | Dietitian, Registered | 1429 Orangetree Ct, Encinitas, CA 92024-4127 | 2020-10-01 |
| 1417497116 | Kathryn Allison Rosenquist | Dietitian, Registered | 354 Santa Fe Dr # En14, Encinitas, CA 92024-5142 | 2017-02-28 |
| 1013459460 | Jennifer Elizabeth Mayer | Dietitian, Registered | 1553 Plumtree Dr, Encinitas, CA 92024-4751 | 2016-11-15 |
| 1306291109 | Gabriela Sipe | Dietitian, Registered | 637 Cypress Hills Dr, Encinitas, CA 92024-2394 | 2016-04-28 |
| 1003247503 | Ruth Heidmann | Dietitian, Registered | 948 Springwood Ln, Encinitas, CA 92024-1909 | 2013-12-09 |
| 1427329580 | Nicholas Magers | Dietitian, Registered | 3194 Via De Caballo, Encinitas, CA 92024-6925 | 2012-01-21 |
| 1558671479 | Kathryn Marie Pollock | Dietitian, Registered | 1820 S El Camino Real, A107, Encinitas, CA 92024-4917 | 2010-10-13 |
| 1407088404 | Megan Lynn Romo | Dietitian, Registered | 206 Via Morella, Encinitas, CA 92024-5390 | 2009-08-10 |
| 1386257400 | Megan Carolyn Connolly | Dietitian, Registered | 2339 11th St, Encinitas, CA 92024-6604 | 2020-08-28 |
| 1144729690 | Carrie S. Phillips, Inc. | Dietitian, Registered | 721 N Vulcan Ave Ste 209, Encinitas, CA 92024-2191 | 2018-02-09 |
| Find all providers in ENCINITAS | ||||
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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.