KELLY GUDENKAUF (NPI# 1558714626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558714626 |
| Entity Type | Individual |
| Full Name | KELLY GUDENKAUF |
| Credential | RD, LD |
| Practice Address |
3500 Dodge St 1159 Hy-vee Dubuque IA 52003-5261 |
| Mailing Address |
2309 Devine St Simply Nutrition Columbia SC 29205-2422 |
| Practice Telephone | 5635835204 |
| Mailing Telephone | 8038145392 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1594 | SC | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 083269 | IA | Dietary & Nutritional Service Providers |
| Street Address |
3500 DODGE ST 1159 HY-VEE |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52003-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245266758 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 3500 Dodge St, Dubuque, IA 52003-5261 | 2006-06-25 |
| 1235768474 | Stacy Kaalberg | Pharmacist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2020-04-08 |
| 1780227322 | Amanda Wiedemeier | Pharmacist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2019-10-28 |
| 1073085387 | Christopher John Baird | Dietitian, Registered | 3500 Dodge St, Dubuque, IA 52003-5261 | 2018-12-27 |
| 1831671049 | Jillian Koos | Pharmacist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2018-09-04 |
| 1376062687 | Anna Truong | Dietitian, Registered | 3500 Dodge St, Dubuque, IA 52003-5261 | 2017-09-18 |
| 1841681947 | Holly Lawrence | Pharmacist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2015-02-10 |
| 1801131396 | Christopher Nevins | Hearing Instrument Specialist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2012-12-10 |
| 1154616043 | Debra Ann Augspurger | Pharmacist | 3500 Dodge St, T-0086, Dubuque, IA 52003-5261 | 2011-06-18 |
| 1346535986 | Chad Richard Vaske | Pharmacist | 3500 Dodge St, Dubuque, IA 52003-5261 | 2011-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839691 | Steven Anthony Link | Pharmacist | 400 S Locust, Dubuque, IA 52003 | 2020-04-05 |
| 1336703057 | Braces By Abbadent, LLC | Dentist | 3430 Dodge St., Suite 19, Dubuque, IA 52003 | 2019-04-29 |
| 1689172751 | Statera LLC | Clinic/Center | 3375 Lake Ridge Drive, Dubuque, IA 52003 | 2018-01-24 |
| 1083962401 | Megan M Gross | Registered Nurse | 3375 Lake Ridge Dr., Dubuque, IA 52003 | 2012-08-15 |
| 1790067320 | Open Arms Home Health Care LLC | Home Health | 3390 Lake Ridge Drive, Dubuque, IA 52003 | 2011-09-09 |
| 1073539375 | Key West Fire and Ems Association | Ambulance | 10640 Lake Eleanor Road, Dubuque, IA 52003 | 2006-07-14 |
| 1124054283 | Jennifer Rebecca Klein | Chiropractor | 2254 Flint Hill Drive, #1, Dubuque, IA 52003 | 2006-06-23 |
| 1780647586 | Dawnelle Marie-vargas Gordon | Nurse Practitioner | 1023 Shady Oaks Dr, Dubuque, IA 52003 | 2006-04-11 |
| 1942287875 | Thomas J King IIi | Dentist | 100 Bryant St, Dubuque, IA 52003 | 2005-12-30 |
| 1013960566 | Peter Joseph Szeibel | Psychiatry & Neurology | 1015 Valentine Dr, Dubuque, IA 52003-0212 | 2006-05-18 |
| Find all providers in zip 52003 | ||||
| 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 |
|---|---|---|---|---|
| 1073085387 | Christopher John Baird | Dietitian, Registered | 3500 Dodge St, Dubuque, IA 52003-5261 | 2018-12-27 |
| 1376062687 | Anna Truong | Dietitian, Registered | 3500 Dodge St, Dubuque, IA 52003-5261 | 2017-09-18 |
| 1275067985 | Chelsea Roth | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2017-04-19 |
| 1083152094 | Keri Schwenker | Dietitian, Registered | 200 Mercy Dr, Suite 106, Dubuque, IA 52001-7303 | 2017-02-09 |
| 1356886857 | Kelley Rath | Dietitian, Registered | 220 W 7th St, Dubuque, IA 52001-2375 | 2016-12-20 |
| 1366987851 | Gina Dowling | Dietitian, Registered | 220 W 7th St, Dubuque, IA 52001-2375 | 2016-12-20 |
| 1033576947 | Christine Nanke | Dietitian, Registered | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2016-01-22 |
| 1699147124 | Lorraine Jane Lorenz | Dietitian, Registered | 350 N Grandview Ave, Dubuque, IA 52001 | 2015-10-23 |
| 1871908699 | Amy Cordingley | Dietitian, Registered | 400 S Locust St, Store #1162, Dubuque, IA 52003-7419 | 2014-07-01 |
| 1861805442 | Stephanie Anne Young | Dietitian, Registered | 1560 University Ave, Dubuque, IA 52001-4790 | 2014-06-11 |
| Find all providers in DUBUQUE | ||||
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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.