KELLY ANN MCCORMICK (NPI# 1801431259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801431259 |
| Entity Type | Individual |
| Full Name | KELLY ANN MCCORMICK |
| Credential | RD |
| Practice Address |
10750 W Mcdowell Rd Ste A300 Avondale AZ 85392-5963 |
| Mailing Address |
18001 N 79th Ave Ste A12 Glendale AZ 85308-8398 |
| Practice Telephone | 6233996825 |
| Practice Fax Number | 6235053474 |
| Mailing Telephone | 6233996825 |
| Mailing Fax Number | 6235053474 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86079831 | AZ | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905966 | Kelly J Mccormick | Speech-Language Pathologist | 1359 Plum Creek Dr, Bourbonnais, IL 60914-1533 | 2016-07-07 |
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1497102784 | Kelly Alexander Mccormick | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II; Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1770867335 | Kelly Mccormick | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| 1912211749 | Kelly Marie Mccormick | Social Worker | 1450 Chapel St, 2nd Floor- Haelen Center, New Haven, CT 06511-4405 | 2010-08-04 |
| Street Address |
10750 W MCDOWELL RD STE A300 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141311 | Courtney A Stanczak | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-07-24 |
| 1821620683 | Amy Ganyukov | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2020-02-10 |
| 1841853199 | Hannah L Wheelwright | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-04-22 |
| 1972073856 | Jacob A Brown | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-12-04 |
| 1790255024 | Diane Gardner | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-11-29 |
| 1144703364 | Haley Mollhagen | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| 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 |
|---|---|---|---|---|
| 1588141311 | Courtney A Stanczak | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-07-24 |
| 1740512037 | Leah Thurber | Dietitian, Registered | 1813 N Dysart Rd, Avondale, AZ 85392-1226 | 2010-02-11 |
| 1821620683 | Amy Ganyukov | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2020-02-10 |
| 1841853199 | Hannah L Wheelwright | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-04-22 |
| 1972073856 | Jacob A Brown | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-12-04 |
| 1790255024 | Diane Gardner | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-11-29 |
| 1144703364 | Haley Mollhagen | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2018-09-13 |
| 1043728546 | Jenna L Graham | Dietitian, Registered | 10750 W Mcdowell Rd, Avondale, AZ 85392 | 2018-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
| 1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
| 1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
| 1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
| 1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.