MS. KELLEY E DEVLIN (NPI# 1679828008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679828008 |
| Entity Type | Individual |
| Full Name | MS. KELLEY E DEVLIN |
| Credential | RD |
| Practice Address |
968 Fairfield Ave Bridgeport CT 06605-1116 |
| Practice Telephone | 2033306000 |
| Practice Fax Number | 2033829425 |
| Mailing Telephone | 2033306000 |
| Mailing Fax Number | 2033829425 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 001113 | CT | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236130 | 05 |
| Street Address |
968 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548287378 | Sanjeev Rao | Family Medicine | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2006-07-17 |
| 1164075446 | Lachanna R Evans | Nurse Practitioner | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-07-16 |
| 1477068773 | Emily T Carter | Family Medicine | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-08 |
| 1306355862 | Frances Uju Ogudebe | Registered Nurse | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-09-27 |
| 1861819187 | Patricia Allen | Social Worker | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2014-03-25 |
| 1740555382 | Karen Madeleine Smith | Social Worker | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2012-03-15 |
| 1861709669 | Anna Victoria Faria | Nurse Practitioner | 968 Fairfield Ave, Southwest Community Health Center, Bridgeport, CT 06605-1116 | 2010-09-01 |
| 1467767699 | Danielle A Graser | Nurse Practitioner | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2010-08-12 |
| 1982915666 | Kara Moonan | Registered Nurse | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2010-06-28 |
| 1669703500 | Nicole L Lewis | Counselor | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| 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 |
|---|---|---|---|---|
| 1023410404 | Dawn Denise Blevins | Dietitian, Registered | 924 County Road 3840, Bridgeport, TX 76426-4932 | 2014-09-17 |
| 1366726002 | Anna Lou Orr-bronsak | Dietitian, Registered | 538 Hillcrest Circle, Bridgeport, WV 26330 | 2011-09-29 |
| 1801830237 | Norma E Simbra | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-06-15 |
| 1427685924 | Melissa Ebdon | Dietitian, Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-03-25 |
| 1518597624 | Kathryn Mary Pisano | Dietitian, Registered | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-01-17 |
| 1740757749 | Rachel Leigh | Dietitian, Registered | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-10-28 |
| 1528580123 | John Coppola | Dietitian, Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-07-14 |
| 1417485582 | Kelly Gruber | Dietitian, Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-06-01 |
| 1598209363 | Katherine Mattis | Dietitian, Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-12-13 |
| 1154793305 | Christina Conte | Dietitian, Registered | 276 Grant Street, Food and Nutrition Services, Bridgeport, CT 06610 | 2015-10-28 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on MS. KELLEY E DEVLIN.
| 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.