SHELLY PALMER (NPI# 1235787698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235787698 |
| Entity Type | Individual |
| Full Name | SHELLY PALMER |
| Credential | MS, RDN, LDN |
| Practice Address |
905 S Goodwin Ave Ofc 567 Urbana IL 61801-3816 |
| Practice Telephone | 2173002216 |
| Mailing Telephone | 2173002216 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007805 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Harrison St, Quincy, IL 623016706 | 2172249442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519688 | Shelly Kaye Palmer | Dietitian, Registered | 764 Creekside Dr Se, Salem, OR 97306-9333 | 2008-05-23 |
| 1942857891 | Shelly Ann Palmer | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Ste 180, Sacramento, CA 95834-1656 | 2019-08-23 |
| 1881162824 | Shelly Lyn Palmer | Counselor | 2308 W 3rd Ave, Spokane, WA 99201-5810 | 2018-11-07 |
| 1417495946 | Shelly Jean Palmer | Respiratory Therapist, Registered | 325 9th Ave, Box 359761, Seattle, WA 98104-2420 | 2017-02-03 |
| 1821044843 | Shelly Marie Palmer | Physician Assistant | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2006-05-25 |
| Street Address |
905 S GOODWIN AVE OFC 567 |
| City | URBANA |
| State | IL |
| Zip Code | 61801-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| 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 |
|---|---|---|---|---|
| 1538798707 | Madeline Runyan | Dietitian, Registered | 3095 Sloan Rd, Urbana, OH 43078-9743 | 2020-04-08 |
| 1619302494 | Ascend Chc, Lcc | Dietitian, Registered | 700 S Gregory St, Suite A, Urbana, IL 61801-3745 | 2013-09-11 |
| 1043236219 | Jennifer Caulfield | Dietitian, Registered | Carle Clinic, 602 West University Avenue, Endocrinology, Urbana, IL 61801 | 2006-07-14 |
| 1063455046 | Angela Todd | Dietitian, Registered | Provena Covenant Medical Center, 1400 West Park Street, Urbana, IL 61801 | 2006-06-14 |
| 1548873938 | Audra Leigh Cisna | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-08-26 |
| 1407472210 | Hunter Farthing | Dietitian, Registered | 700 S Gregory St Ste A, Urbana, IL 61801-3622 | 2020-06-18 |
| 1689200750 | Holly Tompkins | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801-2334 | 2020-03-20 |
| 1568006542 | Whitney R Streitmatter | Dietitian, Registered | 611 W. Park St., Fapc, Urbana, IL 61801 | 2019-11-01 |
| 1700430022 | Chelsea M Guder | Dietitian, Registered | 611 W Park St, Urbana, IL 61801-2529 | 2019-07-25 |
| 1588134084 | Lauren Dowd | Dietitian, Registered | 1400 W Park St, Urbana, IL 61801 | 2018-11-28 |
| Find all providers in URBANA | ||||
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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.