KELSEY ELLENBERG (NPI# 1801434105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801434105 |
| Entity Type | Individual |
| Full Name | KELSEY ELLENBERG |
| Credential | RD |
| Practice Address |
17510 W Grand Pkwy S Ste 510 Sugar Land TX 77479-2651 |
| Practice Telephone | 2812393777 |
| Practice Fax Number | 2812393744 |
| Mailing Telephone | 2812393777 |
| Mailing Fax Number | 2812393744 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT86023 | TX | Dietary & Nutritional Service Providers |
| Street Address |
17510 W GRAND PKWY S STE 510 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| 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 |
|---|---|---|---|---|
| 1578192456 | Juhina Farooki | Dietitian, Registered | 910 Pointe Loma Dr, Sugar Land, TX 77479-5913 | 2020-04-03 |
| 1114568581 | Allison Thummel | Dietitian, Registered | 4334 Pompano Lake Ln, Sugar Land, TX 77479-2737 | 2019-10-07 |
| 1447726690 | Ashley N Hurst | Dietitian, Registered | 15200 Southwest Fwy Ste 266, Sugar Land, TX 77478-3865 | 2018-10-15 |
| 1225420839 | Radhika Koppanur | Dietitian, Registered | 15200 Us-59 S., 360, Sugar Land, TX 77478-4032 | 2015-02-19 |
| 1629410147 | Alifya Musa | Dietitian, Registered | 26 Dartmoor St, Sugar Land, TX 77479-2903 | 2013-07-25 |
| 1720338817 | Nelda A. Aguirre | Dietitian, Registered | 13107 Parkbrook Way Ln, Sugar Land, TX 77498-7473 | 2012-09-15 |
| 1801165360 | Neelam Verma | Dietitian, Registered | 14403 Ardwell Dr., Sugar Land, TX 77498-5107 | 2011-12-29 |
| 1386936938 | Debbie M Madden | Dietitian, Registered | 2715 Oakland Dr, Sugar Land, TX 77479-3027 | 2011-05-13 |
| 1033433693 | Laura Lynne Laine | Dietitian, Registered | 2511 Stephens Grant Dr, Sugar Land, Sugar Land, TX 77479-2245 | 2010-03-24 |
| 1679706329 | Charmagne Kim Emelue | Dietitian, Registered | 2346 Plantation Bend Dr, Sugar Land, TX 77478-4484 | 2009-08-28 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
Please comment or provide details below to improve the information on KELSEY ELLENBERG.
| 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.