ELIZABETH LAUREL KELLOGG (NPI# 1679813547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679813547 |
| Entity Type | Individual |
| Full Name | ELIZABETH LAUREL KELLOGG |
| Credential | RD, LN |
| Practice Address |
2827 Fort Missoula Rd Missoula MT 59804-7408 |
| Practice Telephone | 4063274096 |
| Practice Fax Number | 4063274176 |
| Mailing Telephone | 4063274096 |
| Mailing Fax Number | 4063274176 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | MED-NUTR-LIC-213 | MT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518026947 | Elizabeth M Kellogg | Dentist | 2717 Superior Dr Nw, Rochester, MN 55901-1773 | 2006-12-08 |
| 1306447438 | Elizabeth Kellogg | Counselor | 100 George P Hassett Dr, Medford, MA 02155-3258 | 2020-11-04 |
| 1366930141 | Elizabeth Ryan Kellogg | Family Medicine | 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 | 2018-04-26 |
| Street Address |
2827 FORT MISSOULA RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597639 | Vern Hicks Horton | Surgery | 2827 Fort Missoula Rd, Community Medical Center, Missoula, MT 59804-7408 | 2005-12-06 |
| 1922612431 | Jaala M Wickman | Student in an Organized Health Care Education/Training Program | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-09-02 |
| 1679193551 | Jared Hartley | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-21 |
| 1316567332 | Pat Roosa | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1033739123 | Sarah Elliott | Speech-Language Pathologist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-20 |
| 1578183836 | Evelyn M Redfern | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1811517196 | Rebeccah Tye Mcmillan | Physical Therapist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-16 |
| 1447888557 | Bryann Lea Bausch | Social Worker | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-04-01 |
| 1528694684 | Kate Elizabeth Berry | Nurse Practitioner | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2020-03-19 |
| 1316583511 | Hospitalist Medicine Physicians of California - Tcs, PC | Internal Medicine | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2019-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
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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 |
|---|---|---|---|---|
| 1255826335 | Nancy Liner | Dietitian, Registered | 502 Pattee Canyon Dr, Missoula, MT 59803-1621 | 2018-06-29 |
| 1598266363 | Jessica Lynn Stonefield | Dietitian, Registered | 5880 Lariat Loop, Missoula, MT 59808-5697 | 2018-02-26 |
| 1790292977 | Kati A Burton | Dietitian, Registered | 1330 Sherwood St, Missoula, MT 59802-2302 | 2018-01-09 |
| 1619241932 | Heidi Moretti | Dietitian, Registered | 421 Agnes Ave, Missoula, MT 59801-8746 | 2012-03-05 |
| 1154638997 | Heather Lucas Sauro | Dietitian, Registered | 221 Blue Heron Ln, Missoula, MT 59804-9430 | 2010-08-31 |
| 1578756185 | Mary Jeanne Doyle | Dietitian, Registered | 245 Southwest Higgins Avenue, Unit #3, Missoula, MT 59803-1449 | 2007-08-27 |
| 1205991494 | County of Missoula | Dietitian, Registered | 301 W Alder St, Missoula, MT 59802-4123 | 2006-12-27 |
| 1295346393 | Ana Jarrett | Dietitian, Registered | 5000 Blue Mountain Rd, Missoula, MT 59804-9213 | 2020-08-12 |
| 1255958112 | Katharine Marie Zimmer | Dietitian, Registered | 725 W Alder St Ste 28, Missoula, MT 59802-4026 | 2020-06-26 |
| 1396388203 | Erin Kristina Nyberg | Dietitian, Registered | 301 W Alder St, Missoula, MT 59802-4123 | 2019-10-23 |
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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.