MRS. KELLY LYNN CUFFE (NPI# 1801095963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801095963 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN CUFFE |
| Other Name | MISS KELLY LYNN POWELL |
| Credential | RD, LD, CDE |
| Practice Address |
350 N Wall St Kankakee IL 60901-2901 |
| Mailing Address |
100 Fitness Dr Bourbonnais IL 60914-9584 |
| Practice Telephone | 8159366515 |
| Practice Fax Number | 8159366517 |
| Mailing Telephone | 8159366515 |
| Mailing Fax Number | 8159366517 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2012-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.003315 | IL | Dietary & Nutritional Service Providers |
| Street Address |
350 N WALL ST |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967955 | Yasser A Alhaj-hussein | Anesthesiology | 350 N Wall St, Dept of Anesthesesia, Kankakee, IL 60901-2901 | 2006-01-21 |
| 1932727229 | Elizabeth Ann Christian | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-07-13 |
| 1649897471 | Taryn Mackenzie Linke | Speech-Language Pathologist | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-06-27 |
| 1629693726 | Stephen Tulley | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-15 |
| 1891310991 | Matthew Sutherland | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-15 |
| 1962026302 | Kelsie Joann Jamilia Winger | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-06-01 |
| 1346863321 | Ahmed Ismail | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-25 |
| 1013539683 | Megan L Lucas | Pharmacist | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-05-17 |
| 1568084523 | Alketa Zyka | Internal Medicine | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-13 |
| 1134741028 | Shahzaib Khan | Psychiatry & Neurology | 350 N Wall St, Kankakee, IL 60901-2901 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| 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 |
|---|---|---|---|---|
| 1982146445 | Elizabeth Anne Voogt | Dietitian, Registered | 455 W Court St Ste 100, Kankakee, IL 60901-3692 | 2016-11-14 |
| 1083954341 | Erin B Walker | Dietitian, Registered | 2235 Fox Run Dr, Kankakee, IL 60901-8358 | 2013-02-25 |
| 1659525780 | Gwendolyn J Franklin | Dietitian, Registered | 500 W.court Street, St. Mary's Hospital, Kankakee, IL 60901 | 2008-11-17 |
| 1932149648 | Christina R Tapp | Dietitian, Registered | Provena St. Mary Hospital, 500 W. Court St., Kankakee, IL 60901-3697 | 2006-06-08 |
| 1508336165 | Mary Eileen Benz | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901 | 2018-11-27 |
| 1861975260 | Sarah Ruth Hussey | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2018-09-11 |
| 1750892964 | Julie Ellen Cherrington | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2017-10-14 |
| 1184097628 | Jessica Rae Kollmann | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2015-11-05 |
| 1730567157 | Lindsey Ucki | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2015-05-18 |
| 1558607341 | Taylor Peters | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2012-12-24 |
| Find all providers in KANKAKEE | ||||
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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.