KELLY WALSH (NPI# 1558721753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558721753 |
| Entity Type | Individual |
| Full Name | KELLY WALSH |
| Practice Address |
99 E State St Gloversville NY 12078-1203 |
| Practice Telephone | 5187735387 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 008253-1 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
| 1518210210 | Kelly L Walsh | Speech-Language Pathologist | 4810 Ivy Ridge Dr Se, Unit 306, Smyrna, GA 30080-6660 | 2012-10-18 |
| 1902838675 | Kelly Walsh | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2006-07-06 |
| 1063056802 | Kelly Walsh | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-11-05 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1225686934 | Kelly Walsh | Counselor | 115 Keating Dr, Belle Chasse, LA 70037-1629 | 2019-08-27 |
| 1790266195 | Kelly A Walsh | Occupational Therapist | 13900 Ne 3rd Ct, Miami, FL 33161-2834 | 2018-08-23 |
| 1013434927 | Kelly Ann Walsh | Nurse Practitioner | 317 E 34th St, New York, NY 10016-4974 | 2017-08-23 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1265989909 | Kelly Walsh | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122 | 2016-09-09 |
| Street Address |
99 E STATE ST |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145168 | Nathan Littauer Hospital Association | General Acute Care Hospital | 99 E State St, Gloversville, NY 12078-1203 | 2005-06-27 |
| 1336757327 | Krista Marie Sheils | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-07-16 |
| 1346864477 | Melissa Vanslyke | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-06-04 |
| 1992330047 | Elizabeth Anne Vanier | Registered Nurse | 99 E State St, Gloversville, NY 12078-1293 | 2020-03-10 |
| 1053944231 | Linda Goldstein | Occupational Therapy Assistant | 99 E State St, Gloversville, NY 12078-1293 | 2020-02-17 |
| 1699308197 | Sarah Kathryn Denero | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-13 |
| 1043842586 | Kyla Santiago | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-12 |
| 1699307298 | Andrea G Fagan | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-11 |
| 1942830625 | Barbara Marie Smith | Physical Therapist | 99 E State St, Gloversville, NY 12078-1293 | 2020-01-22 |
| 1841820651 | Meredith Ann Lynds | Physical Therapist | 99 E State St, Gloversville, NY 12078-1293 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| 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 |
|---|---|---|---|---|
| 1275179087 | Emily Jayne Shaver | Dietitian, Registered | 99 East State Street, Gloversville, NY 12078 | 2019-11-27 |
| 1679039283 | Molly Brogan | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2019-02-19 |
| 1063927366 | Emily Lalonde | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2017-12-08 |
| 1679010102 | Aubrey Kruger | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2017-01-23 |
| 1336502400 | Alexandra Barbieri | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2016-04-05 |
| 1063875219 | Gabrielle Mele | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2016-04-04 |
| 1215350616 | Olivia Bassett | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2014-01-22 |
| 1972842961 | Kathryn M Terry | Dietitian, Registered | 99 E State St, Nutrition Services, Gloversville, NY 12078-1203 | 2013-02-11 |
| 1285866616 | Sandra Ellan Baldwin | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2009-08-19 |
| 1811049216 | Erika Suzanne Winney | Dietitian, Registered | 99 E State St, Gloversville, NY 12078-1203 | 2007-01-17 |
| Find all providers in GLOVERSVILLE | ||||
| City | GLOVERSVILLE |
| Zip Code | 12078 |
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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.