KELLY ANNE POOLE (NPI# 1942353982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942353982 |
| Entity Type | Individual |
| Full Name | KELLY ANNE POOLE |
| Credential | M.S.,R.D. |
| Practice Address |
3100 Shore Dr Virginia Beach VA 23451-1199 |
| Mailing Address |
2261 Bizzone Cir Virginia Beach VA 23464-1531 |
| Practice Telephone | 7574961126 |
| Mailing Telephone | 7574796967 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760419725 | Kelly Jay Poole | Social Worker | 4270 Heath Dairy Rd, Randleman, NC 27317-7489 | 2006-06-27 |
| 1740739614 | Kelly Denise Poole | Dental Hygienist | Bldg 38801 Academic Dr, Suite B & C, Usa Dentac, Ft Gordon, GA 30905-5660 | 2016-10-03 |
| 1710193305 | Kelly G Poole | Physical Therapist | 1199 Prince Ave, Athens, GA 30606-2797 | 2007-05-14 |
| 1518076173 | Kelly R Poole | Physician Assistant | 2727 Plaza Drive, Wausau, WI 54401 | 2006-08-29 |
| Street Address |
3100 SHORE DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-1199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983768 | Paul David Johnstone | General Practice | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2005-12-22 |
| 1891308862 | Taylor Jane Coticchio | Occupational Therapist | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2020-08-28 |
| 1164030003 | Christy Tyquiengco | Physical Therapy Assistant | 3100 Shore Dr, Virginia Beach, VA 23451-1467 | 2020-07-16 |
| 1194348797 | Starfish Pharmacy LLC | Pharmacy | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2020-05-19 |
| 1497301618 | Nicholas Lee | Occupational Therapist | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2019-08-13 |
| 1669033510 | Westminster-canterbury On Chesapeake Bay | Clinic/Center | 3100 Shore Dr, Virginia Beach, VA 23451-1467 | 2019-06-21 |
| 1366903577 | Colleen Roach Larkin | Physical Therapist | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2019-03-29 |
| 1447729363 | Brenna A. Brown | Occupational Therapist | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2018-11-20 |
| 1154899151 | Loretta York | Occupational Therapy Assistant | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2018-11-07 |
| 1659848984 | Kristen Woolard | Physical Therapy Assistant | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| 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 |
|---|---|---|---|---|
| 1689286148 | Kelly L Honeycutt | Dietitian, Registered | 5016 Hassell St, Virginia Beach, VA 23455-2606 | 2020-08-17 |
| 1023635265 | Brittany Sharp Bailey | Dietitian, Registered | 5757 Accomac Sq, Virginia Beach, VA 23455-2348 | 2020-07-04 |
| 1588219950 | Angela Marie Carson | Dietitian, Registered | 1932 Aquamarine Dr, Virginia Beach, VA 23456-1362 | 2019-08-02 |
| 1023590593 | Sabrina Cullison | Dietitian, Registered | 1079 Independence Blvd, Virginia Beach, VA 23455-5523 | 2018-08-31 |
| 1487172888 | Balance Health LLC | Dietitian, Registered | 809 Duke of Suffolk Dr, Virginia Beach, VA 23454-2919 | 2017-09-06 |
| 1639697667 | Mary Dye Nutrition, LLC | Dietitian, Registered | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2017-08-30 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1689037822 | Karen Walsh Bremenstul | Dietitian, Registered | 1847 Duke of York Quay, Virginia Beach, VA 23454-1126 | 2016-04-04 |
| 1407225824 | Jennifer Hoffman | Dietitian, Registered | 1612 Poincare Bnd, Virginia Beach, VA 23454-6926 | 2015-09-15 |
| 1902288368 | Housecall Nutrition of Virginia LLC | Dietitian, Registered | 105 Sea Trace Ct, Apt 102, Virginia Beach, VA 23451-4448 | 2015-06-22 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
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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.