KELLY WILSON (NPI# 1720694086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720694086 |
| Entity Type | Individual |
| Full Name | KELLY WILSON |
| Credential | RDN |
| Practice Address |
6865 Hitchingham Rd Ypsilanti MI 48197-8998 |
| Practice Telephone | 2488917195 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1992144372 | Kelly Wilson | Specialist/Technologist | 4241 Quail Hollow Cir, Cuyahoga Falls, OH 44224-5124 | 2013-06-19 |
| 1689903593 | Kelly Elizabeth Wilson | Occupational Therapist | 1522 Morris Ave, Norfolk, VA 23509-1217 | 2009-12-24 |
| 1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
| 1841330768 | Kelly Brooks Wilson | Dentist | 2201 S Blvd, Suite 210, Charlotte, NC 28203-6208 | 2007-02-08 |
| 1275688137 | Kelly L Wilson | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2007-01-23 |
| 1538255344 | Kelly E Wilson | Specialist | 7400 Fannin Suite 930, Houston, TX 77054 | 2006-10-05 |
| 1942283551 | Kelly W Wilson | Obstetrics & Gynecology | 220 East Harris Avenue, San Angelo, TX 76903 | 2005-11-29 |
| 1023646858 | Kelly Comolli Wilson | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-28 |
| 1528619160 | Kelly Ann Wilson | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-09-25 |
| Street Address |
6865 HITCHINGHAM RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1366050916 | Elizabeth Lynn Tedeschi | Dietitian, Registered | 931 E Cross St, Ypsilanti, MI 48198-3886 | 2020-07-20 |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1508369430 | Angela Wortley | Dietitian, Registered | 1717 Collegewood St, Ypsilanti, MI 48197-2052 | 2018-03-16 |
| 1174974034 | Jillian Ondreyka | Dietitian, Registered | 7486 Leah Ln, Ypsilanti, MI 48198-9317 | 2016-06-22 |
| 1003929332 | Karen L Karolle-caton | Dietitian, Registered | 5320 Elliott Dr Ste 203, Ypsilanti, MI 48197-1032 | 2006-08-17 |
| 1760009856 | Ramona Leigh Bertrand | Dietitian, Registered | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2020-07-06 |
| 1417579962 | Mieko Diener | Dietitian, Registered | 2940 Ellsworth Rd, Ypsilanti, MI 48197-7406 | 2020-05-07 |
| 1558862730 | Brandi Jed | Dietitian, Registered | 5570 Whittaker Rd, Ypsilanti, MI 48197-9752 | 2018-02-23 |
| 1184170524 | Cristina Hauncher | Dietitian, Registered | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2016-08-26 |
| 1609995364 | St Joseph Mercy Hospital | Dietitian, Registered | 5320 Elliott Dr, Suite 201, Ypsilanti, MI 48197-1051 | 2007-03-27 |
| Find all providers in YPSILANTI | ||||
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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.