KELLY STAPLETON (NPI# 1689160566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689160566 |
| Entity Type | Individual |
| Full Name | KELLY STAPLETON |
| Credential | RD |
| Practice Address |
3630 E Imperial Hwy Lynwood CA 90262-2609 |
| Mailing Address |
6100 S Pacific Coast Hwy Apt 14 Redondo Beach CA 90277-5957 |
| Practice Telephone | 3109007867 |
| Mailing Telephone | 6172243923 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
86018613 | CA | Dietary & Nutritional Service Providers |
| Street Address |
3630 E IMPERIAL HWY |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227180 | St Francis Medical Center | General Acute Care Hospital | 3630 E Imperial Hwy, Lynwood, CA 90262-2636 | 2005-10-05 |
| 1215544804 | Jarmaine Kelly Johns | Nurse Practitioner | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-09-28 |
| 1104430701 | Francisco Lopez Lim | Registered Nurse | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-09-02 |
| 1437774239 | Sarah Yabroff | Speech-Language Pathologist | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-06-08 |
| 1861015166 | Julia Louise Brown | Dietitian, Registered | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-05-20 |
| 1104447291 | Prime Healthcare Services - St Francis LLC | Psychiatric Unit | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-04-30 |
| 1144840778 | Ebony Marie Sanders | Dietitian, Registered | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-04-23 |
| 1427678119 | Prime Healthcare Services - St Francis LLC | Skilled Nursing Facility | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-04-22 |
| 1114547114 | Prime Healthcare Services - St Francis LLC | General Acute Care Hospital | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-04-20 |
| 1366062556 | Prime Healthcare Services - St Francis LLC | General Acute Care Hospital | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015166 | Julia Louise Brown | Dietitian, Registered | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454721 | Julia Lynne Matel | Dietitian, Registered | 750 Welch Rd Ste 115, Palo Alto, CA 94304-1508 | 2020-10-09 |
| 1144859216 | Kristen Anne Coleman | Dietitian, Registered | 215 N. Fresno Suite 370, Fresno, CA 93701-9370 | 2020-04-02 |
| 1679107981 | Maryann Tomovich Jacobsen | Dietitian, Registered | 9820 Willow Creek Rd Ste 490, San Diego, CA 92131-1128 | 2020-02-25 |
| 1619450285 | Minerva Valencia | Dietitian, Registered | 9254 Sagewood Ct, Gilroy, CA 95020-8209 | 2018-09-10 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1033630132 | Ellen Mackenzie Mccloy | Dietitian, Registered | 4650 W Sunset Blvd # 40, Los Angeles, CA 90027-6062 | 2017-06-29 |
| 1366962086 | Lucia Eugenia Briceno | Dietitian, Registered | 4650 W Sunset Blvd # 8, Los Angeles, CA 90027-6062 | 2017-06-23 |
| 1912427972 | Esther Berenhaut | Dietitian, Registered | 4650 W Sunset Blvd # Ms 40, Los Angeles, CA 90027-6062 | 2017-06-21 |
| 1134653157 | Hector Diaz Hernandez | Dietitian, Registered | 401 Villa Ave Apt 156, Clovis, CA 93612-0884 | 2017-04-17 |
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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.