KERRY LYNN BALLEK (NPI# 1083832844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083832844 |
| Entity Type | Individual |
| Full Name | KERRY LYNN BALLEK |
| Other Name | KERRY LYNN LANG |
| Credential | RD |
| Practice Address |
1626 Freeland Rd Freeland MD 21053-9577 |
| Practice Telephone | 4103431484 |
| Mailing Telephone | 4103431484 |
| Enumeration Date | 2007-04-24 |
| 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 | D01493 | MD | Dietary & Nutritional Service Providers |
| Street Address |
1626 FREELAND RD |
| City | FREELAND |
| State | MD |
| Zip Code | 21053-9577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023575792 | Karen Suzanne Greeley | Physical Therapist | 10 Scotts Manor Ct, Freeland, MD 21053-9400 | 2019-02-28 |
| 1669934188 | Karen Briggs Waganer | Speech-Language Pathologist | 19810 Middletown Rd, Freeland, MD 21053-9403 | 2019-04-03 |
| 1427530781 | Emily Wareheim Fultz | Dietitian, Registered | 19900 Middletown Rd, Freeland, MD 21053-9421 | 2018-09-04 |
| 1518343185 | Annie Ernst | Counselor | 2531 Beckleysville Rd, Freeland, MD 21053-9432 | 2015-08-06 |
| 1992708234 | Arlene M. Butz | Nurse Practitioner | 912 Bentley Rd, Freeland, MD 21053-9517 | 2005-05-31 |
| 1205118486 | Judith Gabrielle Woodring | Midwife, Lay | 21300 Heathcote Rd, Freeland, MD 21053-9601 | 2011-09-14 |
| 1932665023 | Morgan Ilene Keimig | Specialist/Technologist | 7 Old Ruhl Ct, Freeland, MD 21053-9618 | 2019-02-14 |
| 1508076845 | Joann Lynn Sanford | Social Worker | 21002 Keeney Mill Rd, Freeland, MD 21053-9643 | 2007-05-23 |
| 1801189899 | Michelle L Griffin | Registered Nurse | 2615 Chickentown Rd, Freeland, MD 21053-9736 | 2011-05-24 |
| 1194215483 | Taking The Lead, Inc. | Occupational Therapist | 21000 Slab Bridge Rd, Freeland, MD 21053-9773 | 2018-05-13 |
| Find all providers in zip 21053 | ||||
| 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 |
|---|---|---|---|---|
| 1285258004 | Jon Ricky Lanman | Dietitian, Registered | 5093 E Harbor Rd, Freeland, WA 98249-9505 | 2020-06-08 |
| 1427530781 | Emily Wareheim Fultz | Dietitian, Registered | 19900 Middletown Rd, Freeland, MD 21053-9421 | 2018-09-04 |
| 1083764211 | Patricia D Ruth | Dietitian, Registered | 7250 Midland Rd, Freeland, MI 48623-8806 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.