KELLY S. BEALS, INC. (NPI# 1588828826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588828826 |
| Entity Type | Organization |
| Organization Name | KELLY S. BEALS, INC. |
| Practice Address |
3220 Rockhampton Ave Oklahoma City OK 73179-1223 |
| Practice Telephone | 4057958535 |
| Mailing Telephone | 4057958535 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MRS. KELLY S. BEALS (DIETITIAN) |
| Authorized Official Telephone | 4057958535 |
| Authorized Official Credential | RD/LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1076 | OK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSED DIETITIAN | 1076 | 01 |
| OK | 200089850A | 05 | |
| OK | INDIVIDUAL NPI (PRIOR TO FORMING CORPORATION) | 1013017003 | 01 |
| OK | REGISTERED DIETITIAN | 863540 | 01 |
| Street Address |
3220 ROCKHAMPTON AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73179-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
| 1063486280 | Tanya M Keck-smith | Physician Assistant | 5031 Sw 29th Street, Access Medical Center, Oklahoma City, OK 73179 | 2006-02-14 |
| 1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
| 1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
| 1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
| 1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
| 1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
| 1649826033 | Beena Thomas | Nurse Practitioner | 3500 Walden Estates Dr, Oklahoma City, OK 73179-1410 | 2019-08-13 |
| Find all providers in zip 73179 | ||||
| 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 |
|---|---|---|---|---|
| 1598370066 | Laci N Patterson | Dietitian, Registered | 9401 Prosper Dr, Oklahoma City, OK 73151-8811 | 2020-09-11 |
| 1326665548 | Olivia Jean Trout | Dietitian, Registered | 4311 Se 57th St, Oklahoma City, OK 73135-3308 | 2020-07-03 |
| 1285257121 | Grace Vose Williams | Dietitian, Registered | 6804 Nw Grand Blvd, Oklahoma City, OK 73116-5415 | 2020-05-27 |
| 1902428337 | Janet Lynn O'kresik | Dietitian, Registered | 5800 Ne 107th St, Oklahoma City, OK 73151-9549 | 2020-05-07 |
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1740829803 | Taylor Rose Conner | Dietitian, Registered | 2500 Ne 63rd St, Oklahoma City, OK 73111-8203 | 2020-01-06 |
| 1518511575 | Erin Colletta | Dietitian, Registered | 1200 Childrens Ave Ste 5f, Oklahoma City, OK 73104-4637 | 2019-07-29 |
| 1093370330 | Taylor Oliver | Dietitian, Registered | 408 Sw 145th St, Oklahoma City, OK 73170-7298 | 2019-05-02 |
| 1073090064 | Christine Diane Howze | Dietitian, Registered | 1915 N Saint Clair Ave, Oklahoma City, OK 73107-2833 | 2018-07-23 |
| 1376032722 | Emily Sue Hicks | Dietitian, Registered | 1500 Steeple Chase St, Oklahoma City, OK 73131-1222 | 2018-05-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73179 |
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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.