MS. KELLYN MARIE CZAJKOWSKI (NPI# 1558874131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558874131 |
| Entity Type | Individual |
| Full Name | MS. KELLYN MARIE CZAJKOWSKI |
| Credential | RDN |
| Practice Address |
1901 S 1st St Temple TX 76504-7451 |
| Practice Telephone | 2547784811 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86083735 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1901 S 1ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332858 | Lindsey Theda | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-09-28 |
| 1003441890 | Ethan Suh | Dentist | 1901 S 1st St, Temple, TX 76504-7451 | 2020-03-11 |
| 1598309759 | Kayla A Bunn | Registered Nurse | 1901 S 1st St, Temple, TX 76504-7451 | 2019-10-31 |
| 1720630478 | Samrat Shrestha | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2019-07-12 |
| 1396203725 | Latasha T Merkerson-miller | Counselor | 1901 S 1st St, Temple, TX 76504-7451 | 2019-03-05 |
| 1205305075 | Paul Lanciault | Orthotist | 1901 S 1st St, Temple, TX 76504-7451 | 2018-11-21 |
| 1790278497 | Shaylise Ellis | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2018-06-07 |
| 1124553805 | Stephanie Carter | Nurse Practitioner | 1901 S 1st St, Temple, TX 76504-7451 | 2017-05-01 |
| 1578013835 | Steven Braun | Pharmacist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-11 |
| 1891245320 | Shenira Becker | Psychologist | 1901 S 1st St, Temple, TX 76504-7451 | 2016-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
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| 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 |
|---|---|---|---|---|
| 1417450024 | Around The Table Nutrition, LLC | Dietitian, Registered | 6119 Shadow Creek Cv, Temple, TX 76502-4504 | 2018-03-10 |
| 1558743948 | Megan Destefano | Dietitian, Registered | 1901 S. 1st Street (nfs 120t), Temple, TX 76501-7451 | 2015-06-23 |
| 1679896914 | Celia A Rozell | Dietitian, Registered | Scott and White Healthcare Temple Dialysis, 2401 South 31st Street, Temple, TX 76508-0001 | 2010-03-01 |
| 1346262433 | Rochelle Marie Huber | Dietitian, Registered | 1901 S. 1st St, #120, Temple, TX 76504-7451 | 2006-07-25 |
| 1629091442 | Elizabeth Eileen Kist | Dietitian, Registered | 1901 S. First St, Temple, TX 76506 | 2006-07-25 |
| 1114533460 | Kimberly Tuckness | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-09-22 |
| 1497371371 | Jericho Yates | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-06-17 |
| 1134753494 | Krystal Gabrielle Martinez | Dietitian, Registered | 2401 S 31st St, Temple, TX 76508-0001 | 2020-02-26 |
| 1780237453 | Victoria Nmn Tooker | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2019-07-22 |
| 1902461056 | Rebecca Ormsbee | Dietitian, Registered | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2019-05-03 |
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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.