KELLY JO LEBOLT (NPI# 1437343027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437343027 |
| Entity Type | Individual |
| Full Name | KELLY JO LEBOLT |
| Credential | M.S, R.D. |
| Practice Address |
1910 Electric Rd Roanoke VA 24018-1621 |
| Practice Telephone | 5407724930 |
| Mailing Telephone | 5407724930 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1910 ELECTRIC RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093824906 | The Nutrition Resource, Inc. | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-08-30 |
| 1477721850 | Jennifer Jeanne Henry | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2008-02-19 |
| 1396810743 | Nutrition Resource, Inc | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1356831234 | Mary Clifford Brewer | Dietitian, Registered | 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 | 2018-05-16 |
| 1841727989 | Kelsie Lewis | Dietitian, Registered | 14953 Seventeen Lakes Blvd, Roanoke, TX 76262-3732 | 2017-05-19 |
| 1679013965 | Jessica Dunham | Dietitian, Registered | 3640 Bushdale Rd, Roanoke, VA 24014-6014 | 2017-03-06 |
| 1073864393 | Lakshmi Mahan | Dietitian, Registered | 2125 Yellow Mountain Rd Se Apt 104, Roanoke, VA 24014-2422 | 2012-09-26 |
| 1639325558 | Brenda Kay Lucas | Dietitian, Registered | 3721 Autumn Dr, Roanoke, VA 24012-6457 | 2008-08-12 |
| 1023203262 | Stephanie M Murray | Dietitian, Registered | Bellview At Jefferson Street, Crmh Third Floor South, Roanoke, VA 24014 | 2007-09-11 |
| 1093824906 | The Nutrition Resource, Inc. | Dietitian, Registered | 1910 Electric Rd, Roanoke, VA 24018-1621 | 2006-08-30 |
| 1801825534 | Real Life Nutrition, Inc. | Dietitian, Registered | 1030 S Jefferson St Ste 200, Roanoke, VA 24016-4418 | 2006-07-03 |
| 1801863782 | Donald E. Mankie | Dietitian, Registered | 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 | 2006-03-01 |
| 1821647330 | Jearls Nutrition, LLC | Dietitian, Registered | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2019-09-06 |
| Find all providers in ROANOKE | ||||
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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.