Kelly Wilson (NPI# 1588268429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 Houston TX 77055-6136 |
| Practice Telephone | 2544935962 |
| Mailing Address |
1242 Demaret Ln Houston 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | 86041805 | TX |
| No | 133VN1301X |
| 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 |
| Find all providers with the same name | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in HOUSTON | ||||
| Street Address |
1242 DEMARET LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-6136 |
| 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 |
| Find all providers in zip 77055 | ||||
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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.