DR. KIM DARRELL KELLY (NPI# 1538302799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538302799 |
| Entity Type | Individual |
| Full Name | DR. KIM DARRELL KELLY |
| Credential | ND, MPH |
| Practice Address |
1363 Burgundy Rd Encinitas CA 92024-1847 |
| Practice Telephone | 7605332883 |
| Practice Fax Number | 8663533603 |
| Mailing Telephone | 7605332883 |
| Mailing Fax Number | 8663533603 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | ND-130 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992198584 | Kim Marie Kelly | Behavioral Analyst | 20 Tater St, Mont Vernon, NH 03057-1315 | 2015-03-06 |
| 1851630412 | Kim A Kelly | Counselor | 2528 Oak St, Jacksonville, FL 32204-4504 | 2013-02-01 |
| 1689950800 | Kim C Kelly | Speech-Language Pathologist | 678 Cantiague Rock Rd, Jericho, NY 11753-1401 | 2011-11-02 |
| 1740380633 | Kim Erin Kelly | Counselor | 333 S Juniper St, #115, Escondido, CA 92025-4924 | 2006-09-22 |
| 1578585501 | Kim Michelle Kelly | Family Medicine | 12710 Se Division Street, Portland, OR 97236 | 2006-07-25 |
| 1790119857 | Kim Marie Kelly | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353-8001 | 2013-08-26 |
| 1730457193 | Kim J Kelly | Counselor | 200 S Pollock St, Selma, NC 27576-3062 | 2011-12-13 |
| 1457453326 | Kim H Kelly | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2006-09-02 |
| Street Address |
1363 BURGUNDY RD |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-1847 |
| 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 | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200129 | Maninder Semby | Naturopath | 2217 Summerhill Dr, Encinitas, CA 92024-5444 | 2020-09-22 |
| 1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
| 1255964029 | Caileen Vermilyea | Naturopath | 203 Sweet Alice Ln, Encinitas, CA 92024-3932 | 2020-02-19 |
| 1205470382 | Virginia Sweetan | Naturopath | 802 N Coast Hwy, Encinitas, CA 92024-2047 | 2019-11-01 |
| 1356826051 | Amber Krogsrud | Naturopath | 775 N Vulcan Ave, Encinitas, CA 92024-2137 | 2018-09-27 |
| 1548758022 | Amber Anne Walz | Naturopath | 1816b Eucalyptus Ave, Encinitas, CA 92024-1106 | 2018-04-30 |
| 1467963199 | Michael Erhardt Moeller | Naturopath | 740 Garden View Ct Ste 207, Encinitas, CA 92024-2474 | 2017-10-20 |
| 1386091098 | Elizabeth Winter | Naturopath | 264 N Coast Highway 101, Encinitas, CA 92024-3254 | 2016-05-23 |
| 1346545498 | Michelle Marie Wolford | Naturopath | 345 S Coast Hwy 101, Suite L, Encinitas, CA 92024 | 2011-01-21 |
| 1053958744 | Joseph D Shum | Naturopath | 171 Saxony Rd Ste 107, Encinitas, CA 92024-6776 | 2019-12-02 |
| 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.