MS. KELLY MARIE BRISTOW (NPI# 1750696449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750696449 |
| Entity Type | Individual |
| Full Name | MS. KELLY MARIE BRISTOW |
| Credential | MS, RD, LD |
| Practice Address |
1020 N Mason Rd Creve Coeur MO 63141-6300 |
| Mailing Address |
1020 N Mason Rd Ste 200 Hcia Cardiac Rehab Creve Coeur MO 63141-6300 |
| Practice Telephone | 3149963140 |
| Mailing Telephone | 3149963140 |
| Mailing Fax Number | 3149963132 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2010026992 | MO | Dietary & Nutritional Service Providers |
| Street Address |
1020 N MASON RD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871996967 | Candace Winterbauer | Dietitian, Registered | 1020 N Mason Rd, Creve Coeur, MO 63141-6300 | 2014-10-02 |
| 1063756278 | Heart Care Institute Affiliated Services, LLC | Clinic/Center | 1020 N Mason Rd, Suite 200, Creve Coeur, MO 63141-6300 | 2012-11-15 |
| 1881975308 | Heart Care Institute LLC | Clinic/Center | 1020 N Mason Rd, Suite 210, Creve Coeur, MO 63141-6300 | 2011-08-30 |
| 1265689418 | Gail Christine Crofton | Dietitian, Registered | 1020 N Mason Rd, Professional Building 3, Suite 200, Creve Coeur, MO 63141-6300 | 2008-08-19 |
| 1336395839 | Nancy Claire Bradley | Dietitian, Registered | 1020 N Mason Rd, Professional Building 3, Suite 200, Creve Coeur, MO 63141-6300 | 2008-08-15 |
| 1164458675 | Heart Care Institute LLC | Clinic/Center | 1020 N Mason Rd, Suite 130, Creve Coeur, MO 63141-6300 | 2006-06-25 |
| 1144256785 | Heart Care Institute Affiliated Services, LLC | Clinic/Center | 1020 N Mason Rd, Suite 200, Creve Coeur, MO 63141-6300 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1174135438 | Maggie Algya | Dietitian, Registered | 12393 Cross Creek Cv Apt N, Creve Coeur, MO 63141-6428 | 2020-08-18 |
| 1477730125 | Elizabeth Michelle Patton | Dietitian, Registered | 11628 Old Ballas Rd Ste 213, Creve Coeur, MO 63141-7030 | 2008-01-24 |
| 1326425703 | Rdbyyourside Nutrition, LLC | Dietitian, Registered | 11628 Old Ballas Rd Ste 213, Creve Coeur, MO 63141-7030 | 2015-05-05 |
| 1871996967 | Candace Winterbauer | Dietitian, Registered | 1020 N Mason Rd, Creve Coeur, MO 63141-6300 | 2014-10-02 |
| 1952681876 | Lauren Landfried | Dietitian, Registered | 10560 Old Olive Street Rd, Suite 100, Creve Coeur, MO 63141-5916 | 2011-08-23 |
| 1265689418 | Gail Christine Crofton | Dietitian, Registered | 1020 N Mason Rd, Professional Building 3, Suite 200, Creve Coeur, MO 63141-6300 | 2008-08-19 |
| 1336395839 | Nancy Claire Bradley | Dietitian, Registered | 1020 N Mason Rd, Professional Building 3, Suite 200, Creve Coeur, MO 63141-6300 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1407453392 | Susan Shaffer | Dietitian, Registered | 4213 Sw Sapelo Dr, Lees Summit, MO 64082-5016 | 2020-10-05 |
| 1891302014 | Sarah Whitehead | Dietitian, Registered | 22665 Hanley Ln Apt B, Saint Robert, MO 65584-9537 | 2020-09-30 |
| 1750998472 | Courtney Paige Huff | Dietitian, Registered | 129 Westborough Dr, Troy, MO 63379-4443 | 2020-09-27 |
| 1275149841 | Kendall Stagner | Dietitian, Registered | 1 Martin Dr, Agency, MO 64401-9110 | 2020-09-19 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1225642283 | Elizabeth Arensberg | Dietitian, Registered | 6433 Valley Rd, Kansas City, MO 64113-1555 | 2020-09-07 |
| 1952915001 | Melissa Coker | Dietitian, Registered | 1122 Gibraltar Point Dr, Saint Charles, MO 63304-5037 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.