KELLI SHALLAL (NPI# 1376990333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376990333 |
| Entity Type | Individual |
| Full Name | KELLI SHALLAL |
| Credential | RD |
| Practice Address |
2574 E Jasper Dr Gilbert AZ 85296-8914 |
| Mailing Address |
1844 E Baseline Rd Ste C5 Tempe AZ 85283-1506 |
| Practice Telephone | 6022996006 |
| Mailing Telephone | 1808331005 |
| Mailing Fax Number | 4808331312 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86003199 | AZ | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1844 E Baseline Rd Ste C5, Tempe, AZ 852831506 | 4808331005 | 4808331312 |
| Street Address |
2574 E JASPER DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-8914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
|---|---|---|---|---|
| 1225688013 | Tammy J Leeper | Dietitian, Registered | 4107 E Shannon St, Gilbert, AZ 85295-7740 | 2019-09-13 |
| 1710547401 | Melicious LLC | Dietitian, Registered | 313 N Gilbert Rd, Gilbert, AZ 85234-5995 | 2019-06-16 |
| 1912563073 | Taylor Arnold | Dietitian, Registered | 1341 N Blue Marlin Dr, Gilbert, AZ 85234-2607 | 2019-05-14 |
| 1376010538 | Tiffone Nubarka Powers-parker | Dietitian, Registered | 2097 S Colt Dr, Gilbert, AZ 85295-3446 | 2018-10-25 |
| 1831671171 | Melissa Paton | Dietitian, Registered | 313 N Gilbert Rd Ste 300, Gilbert, AZ 85234-5998 | 2018-09-04 |
| 1295223725 | Alisha S Chasey | Dietitian, Registered | 1846 W Leah Ln, Gilbert, AZ 85233-1735 | 2018-04-30 |
| 1801305669 | Lauren Kate Pellizzon | Dietitian, Registered | 1920 N Higley Rd Ste 306, Gilbert, AZ 85234-1625 | 2017-09-25 |
| 1023564713 | Elva Hooker | Dietitian, Registered | 3271 S Loback Ln, Gilbert, AZ 85297-7840 | 2016-09-01 |
| 1982082665 | Sara Korzeniewski | Dietitian, Registered | 2035 E Flintlock Dr, Gilbert, AZ 85298-9724 | 2015-05-13 |
| 1356751515 | Jon Lox | Dietitian, Registered | 3285 S. Val Vista Dr., Gilbert, AZ 85295 | 2014-04-28 |
| Find all providers in GILBERT | ||||
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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.