MARY CLARE KELLEY (NPI# 1881083988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881083988 |
| Entity Type | Individual |
| Full Name | MARY CLARE KELLEY |
| Credential | R.D.N. |
| Practice Address |
6001 N Mayfair St Spokane WA 99208-1129 |
| Mailing Address |
Po Box 996 Hayden ID 83835-0996 |
| Practice Telephone | 5094622273 |
| Practice Fax Number | 5094622275 |
| Mailing Telephone | 2086644026 |
| Mailing Fax Number | 8555325921 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86009851 | WA | Dietary & Nutritional Service Providers |
| Street Address |
6001 N MAYFAIR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192002 | Teri A Tupper | Nurse Practitioner | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2005-08-24 |
| 1912264383 | Natasha Jaclyn Olson | Pharmacist | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2012-04-23 |
| 1881907400 | Manpreet S Chahal | Pharmacist | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-07-24 |
| 1083932396 | Medical Oncology Associates Ps | Nurse Practitioner | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-05-11 |
| 1518285824 | Medical Oncology Associates Ps | Internal Medicine | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-05-11 |
| 1255659561 | Medical Oncology Associates Ps | Radiology | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-05-11 |
| 1629396932 | Medical Oncology Associates Ps | Nuclear Medicine | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-05-11 |
| 1639493422 | Medical Oncology Associates Ps | Durable Medical Equipment & Medical Supplies | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2010-03-23 |
| 1932339678 | Christina L Sell | Nurse Practitioner | 6001 N Mayfair St, Spokane, WA 99208 | 2009-07-15 |
| 1215980198 | Medical Oncology Associates, P.s. | Specialist | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609678 | Matthew Glen Koontz | Dietetic Technician, Registered | 507 Ne Northgate Way Apt 139, Seattle, WA 98125-6185 | 2020-08-14 |
| 1740890177 | Karen Mclellan | Dietetic Technician, Registered | 9556 Sand Point Way Ne Apt 1, Seattle, WA 98115-2652 | 2020-07-31 |
| 1053950519 | Krishna Shah | Dietetic Technician, Registered | 136 102nd Ave Se Apt 405, Bellevue, WA 98004-8144 | 2020-01-02 |
| 1295193084 | Leila Davis | Dietetic Technician, Registered | 17806 80th Ave Ne, Kenmore, WA 98028-1806 | 2016-02-08 |
| 1831560218 | Ashton Daniel | Dietetic Technician, Registered | 1700 Westlake Ave N, 700, Seattle, WA 98109-3012 | 2015-10-12 |
| 1053513341 | Melissa Ann Everson | Dietetic Technician, Registered | 360 Nw North St, Chehalis, WA 98532-1925 | 2007-05-31 |
| 1568553378 | Carol Lynn Smith | Dietetic Technician, Registered | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-09-27 |
| 1114981016 | Marie B Hubbard | Dietetic Technician, Registered | Madigan Army Medical Center, Medical Nutrition Therapy Branch, Ft Lewis, WA 98433 | 2006-04-17 |
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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.