Kelly Wilson
Kelly Johnson · Dietitian, Registered

Address: 1242 Demaret Ln, Houston, TX 77055-6136
Phone: 2544935962

Kelly Wilson (NPI# 1588268429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1588268429
Entity Type Individual
Full Name Kelly Wilson
Other Name Kelly Johnson
Credential MS, RD, LD, CSO
Gender Female
Practice Address 1242 Demaret Ln
TX 77055-6136
Practice Telephone 2544935962
Mailing Address 1242 Demaret Ln
TX 77055-6136
Mailing Telephone 2544935962
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-22
Last Update Date 2020-11-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers 86041805 TX
No 133VN1301X

Providers with the same name

NPI Name Taxonomy Address Enumeration
1548863343 Kelly Wilson Occupational Therapist 232 Tether Way, Doylestown, PA 18901-5733 2020-11-16
1720694086 Kelly Wilson Dietitian, Registered 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 2020-09-21
1447736798 Kelly Wilson Assisted Living Facility 8848 Gloralee St, Anchorage, AK 99502 2018-07-18
1992144372 Kelly Wilson Specialist/Technologist 4241 Quail Hollow Cir, Cuyahoga Falls, OH 44224-5124 2013-06-19
1689903593 Kelly Elizabeth Wilson Occupational Therapist 1522 Morris Ave, Norfolk, VA 23509-1217 2009-12-24
1407023591 Kelly Wilson Psychologist 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 2008-05-08
1841330768 Kelly Brooks Wilson Dentist 2201 S Blvd, Suite 210, Charlotte, NC 28203-6208 2007-02-08
1275688137 Kelly L Wilson Social Worker 200 N Congress St, Suite 100, Jackson, MS 39201-1902 2007-01-23
1538255344 Kelly E Wilson Specialist 7400 Fannin Suite 930, Houston, TX 77054 2006-10-05
1942283551 Kelly W Wilson Obstetrics & Gynecology 220 East Harris Avenue, San Angelo, TX 76903 2005-11-29
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568068500 Parvin Rafiee Dietitian, Registered 504a Knox St, Houston, TX 77007-7113 2020-12-06
1811590482 Arella Fields Dietitian, Registered 14555 Philippine St Apt 736, Houston, TX 77040-7816 2020-11-17
1720687718 Jordan Wright Dietitian, Registered 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 2020-10-20
1669089827 Own Your Diet, LLC Dietitian, Registered 1806 Althea Dr, Houston, TX 77018-5002 2020-09-30
1811504863 Kasey Mae Kilpatrick Dietitian, Registered 2210 W Dallas St Apt 421, Houston, TX 77019-4349 2020-09-24
1366058893 Hannah Cooper Dietitian, Registered 5401 Fairdale Ln, Houston, TX 77056-6606 2020-09-21
1548876410 Anafernanda Barrera Dietitian, Registered 842 W Heights Hollow Ln, Houston, TX 77007-7061 2020-09-16
1316556756 Sarah Al-shwaf Dietitian, Registered 15255 Vintage Preserve Pkwy Apt 1218, Houston, TX 77070-2295 2020-07-30
1083239248 Kalliopi Podia Dietitian, Registered 11030 Kingspoint Rd Ste 2, Houston, TX 77075-4102 2020-06-13
1790300093 Kristin Kabay Dietitian, Registered 7803 Braes Meadow Dr, Houston, TX 77071-1301 2020-06-11
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Office Location

Street Address 1242 DEMARET LN
State TX
Zip Code 77055-6136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811594823 Taha Pharmacy Pharmacy 1383 Bunker Hill Rd, 101, Houston, TX 77055 2020-10-02
1134777238 Cini Thomas Nurse Practitioner 9504 Long Point Rd, Suite E, Houston, TX 77055 2019-08-31
1598248056 Jan Michael Coz Occupational Therapy Assistant 1341 Blalock Road, Houston, TX 77055 2018-09-11
1528557881 The Hospital At I-10 Special Hospital 9430 Old Katy Road, Suite 100, Houston, TX 77055 2018-05-02
1508353129 Amber Clarke Nurse Practitioner Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 2018-04-19
1205338506 Kelsey Samantha Gold Registered Nurse 7605 Wedgewood Lane, Houston, TX 77055 2018-03-02
1255849147 Tan Minh Nguyen Physical Therapy Assistant 1341 Blalock, Houston, TX 77055 2018-01-13
1679097737 Susan Degner Social Worker 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 2017-07-31
1003336413 Solange Inzillo Speech-Language Pathologist 9757 Pine Lake Drive, #4025, Houston, TX 77055 2017-06-27
1386181618 Gem Monika Yamon Escamilla Nurse Practitioner 8116 Long Point Rd, Houston, TX 77055 2017-01-25
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Zip Code 77055

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Dataset Information

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.