MRS. KELLY MILLER (NPI# 1629523782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629523782 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MILLER |
| Credential | R. D. |
| Practice Address |
295 S Chipeta Way Suite 248 Salt Lake City UT 84108-1287 |
| Practice Telephone | 8012133778 |
| Practice Fax Number | 8015873001 |
| Mailing Telephone | 8012133778 |
| Mailing Fax Number | 8015873001 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3637234901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678810 | Kelly Miller | Technician | 1030 Chapline St Apt 414, Wheeling, WV 26003-2947 | 2020-08-03 |
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1144710799 | Kelly Sue Miller | Nurse Practitioner | 5500 Armstrong Rd Rm 201, Battle Creek, MI 49037-7314 | 2018-05-18 |
| 1700386356 | Kelly Miller | Registered Nurse | 521 Ethan Dr, Weatherford, TX 76087-3307 | 2018-02-20 |
| 1518471259 | Kelly Miller | Licensed Practical Nurse | 22223 N 1525 East Rd, Danville, IL 61834-8200 | 2017-11-16 |
| 1306297049 | Kelly Rita Miller | Behavioral Analyst | 2267 Cabana Club Court #204, Tampa, FL 33612 | 2016-06-23 |
| 1265892822 | Kelly Miller | Behavioral Analyst | 526 Holly Knoll Rd, Hockessin, DE 19707-9749 | 2016-02-25 |
| 1609266865 | Kelly Michaels Miller | Social Worker | 23 Groves Ave, Alexandria, VA 22305-2508 | 2015-01-27 |
| 1710321948 | Kelly A Miller | Social Worker | 2000 Arapahoe Suite 305, Denver, CO 80205 | 2013-04-18 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| Street Address |
295 S CHIPETA WAY SUITE 248 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248465 | Justin Charles Alvey | Pediatrics | 295 S Chipeta Way, University of Utah Department of Pediatrics, Salt Lake City, UT 84108-1287 | 2005-07-12 |
| 1912535501 | Margaret Jean Bale | Student in an Organized Health Care Education/Training Program | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-03-30 |
| 1376183582 | Claire Ann Goeke | Nurse Practitioner | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-01-15 |
| 1528544012 | Ashley Berrett | Dietitian, Registered | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2018-07-17 |
| 1588184105 | Samuel B. Zoucha | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-06-24 |
| 1114457413 | Adrienne Cohen | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-06-19 |
| 1447780119 | Christine Morris | Physician Assistant | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-06-15 |
| 1023545670 | Natalie Justine Tedford | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-05-15 |
| 1356876858 | Allison M. Fisher | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-04-22 |
| 1174056758 | Andrew Daniel Fontes | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1518570118 | Stephanie P Bergen | Dietitian, Registered | 1132 E Bryan Ave Apt A, Salt Lake City, UT 84105-2508 | 2020-08-25 |
| 1023626199 | Amelia Pape | Dietitian, Registered | 2079 S 1200 E Unit 210, Salt Lake City, UT 84105-3582 | 2020-07-15 |
| 1669099024 | Rachel Elizabeth Hoobler | Dietitian, Registered | 718 E Emerson Ave, Salt Lake City, UT 84105-2217 | 2020-07-01 |
| 1780204511 | Joan Kathleen Ryan | Dietitian, Registered | 5370 E Pioneer Fork Rd, Salt Lake City, UT 84108-1679 | 2020-04-22 |
| 1104460567 | Patricia Maxine Guenther | Dietitian, Registered | 16 E Churchill Dr, Salt Lake City, UT 84103-2266 | 2019-10-29 |
| 1497230734 | Theresa E Dvorak | Dietitian, Registered | 3334 E Fortuna Dr, Salt Lake City, UT 84124-5616 | 2018-10-02 |
| 1578043816 | Alexander James Barker Smith | Dietitian, Registered | 263 L St, Salt Lake City, UT 84103-3541 | 2018-08-16 |
| 1861970337 | Mylena Avalos Dominguez | Dietitian, Registered | 295 S Chipeta Way Ste 248, Salt Lake City, UT 84108-1287 | 2018-08-06 |
| 1073029245 | Lindsey Marie Imber | Dietitian, Registered | 500 Foothill Dr Bldg 5, Salt Lake City, UT 84148-5101 | 2017-12-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.