MRS. KELLY JEAN PEREZ (NPI# 1053565366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053565366 |
| Entity Type | Individual |
| Full Name | MRS. KELLY JEAN PEREZ |
| Credential | REGISTERED DIETITIAN |
| Practice Address |
4076 Neely Rd Ft. Wainwright AK 99703 |
| Mailing Address |
523 Lily Dr Apt 1 Ft Wainwright AK 99703-1531 |
| Practice Telephone | 2544955506 |
| Mailing Telephone | 2544955506 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L003552 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640394 | Kelly Perez | Counselor | 9150 Waterman Rd Apt 116, Elk Grove, CA 95624-5079 | 2019-07-03 |
| 1184173908 | Kelly Perez | Marriage & Family Therapist | 84-14 Queens Blvd, Elmhurst, NY 11373 | 2016-09-22 |
| 1730412172 | Kelly Sue Perez | Physician Assistant | 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128-0373 | 2009-09-17 |
| 1003448036 | Kelly Allin Perez | Counselor | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2020-02-07 |
| 1114581055 | Kelly Stephanie Perez | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-04-25 |
| 1679057236 | Kelly Perez | Marriage & Family Therapist | 2790 Skypark Dr Ste 215, Torrance, CA 90505-5388 | 2018-09-19 |
| 1194261693 | Kelly Perez | Behavioral Analyst | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2017-01-09 |
| 1902277643 | Kelly Lynn Perez | Nurse Practitioner | 4875 Higbee Ave Nw, Canton, OH 44718-2566 | 2015-10-07 |
| 1548491178 | Kelly Lynn Perez | Pharmacist | 820 S Damen Ave, Pharmacy Service 119, Chicago, IL 60612-3728 | 2009-07-30 |
| 1376629493 | Kelly Perez | Physician Assistant | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2006-10-31 |
| Street Address |
4076 NEELY RD |
| City | FT. WAINWRIGHT |
| State | AK |
| Zip Code | 99703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| 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 |
|---|---|---|---|---|
| 1396761227 | Michael J Valiquette | Dietitian, Registered | 1060 Gaffney Rd #7440, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Ft. Wainwright, AK 99703-7440 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1518579473 | Soleil Thiele | Dietitian, Registered | 2210 N Broadway Dr, Palmer, AK 99645-9316 | 2020-08-20 |
| 1619593449 | Audrey Conrad | Dietitian, Registered | 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 | 2020-06-17 |
| 1952934895 | Lea Palmer | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-19 |
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1326506866 | Balance and Nourish | Dietitian, Registered | 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 | 2019-03-04 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1730658493 | Emily Nicole Henry | Dietitian, Registered | 97 Eichner Ave, Ketchikan, AK 99901-9033 | 2018-11-24 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FT. WAINWRIGHT |
| Zip Code | 99703 |
Please comment or provide details below to improve the information on MRS. KELLY JEAN PEREZ.
| 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.