MRS. KELLILYN WORLEY (NPI# 1760703045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760703045 |
| Entity Type | Individual |
| Full Name | MRS. KELLILYN WORLEY |
| Credential | MS, RD, LD |
| Practice Address |
6282 Phelan Blvd Beaumont TX 77706-6120 |
| Mailing Address |
6165 Carnation Dr Beaumont TX 77706-5502 |
| Practice Telephone | 4094540417 |
| Mailing Telephone | 4094540417 |
| Mailing Fax Number | 4098612021 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06620 | TX | Dietary & Nutritional Service Providers |
| Street Address |
6282 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| 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 |
|---|---|---|---|---|
| 1073154530 | Loren Landeros | Dietitian, Registered | 1410 Redwood St, Beaumont, CA 92223-3136 | 2019-10-04 |
| 1194387605 | Nargis Akhter | Dietitian, Registered | 6540 Merrick Ln, Beaumont, TX 77706-8000 | 2019-07-03 |
| 1932699246 | Elizabeth Hernandez-spina | Dietitian, Registered | 1030 21st St, Beaumont, TX 77706-4747 | 2018-05-11 |
| 1750882304 | Jau-jiin Chen | Dietitian, Registered | 211 Redbird Ln # 10035, Beaumont, TX 77705-9801 | 2018-02-27 |
| 1407365950 | Arda Buyuktimkin | Dietitian, Registered | 990 Ih 10 N Ste 215, Beaumont, TX 77702-1051 | 2017-09-28 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1285916999 | Aurelia Vidal Samonte | Dietitian, Registered | 5490 Greenbriar Ln, Beaumont, TX 77706-7347 | 2011-09-20 |
| 1013299924 | Ashley Lovelady Koch | Dietitian, Registered | 3030 North St. Suite 560, Beaumont, TX 77702-1424 | 2011-09-16 |
| 1841330180 | Marcela De Fatima Heim Edelman | Dietitian, Registered | 1680 Clark Crk, Beaumont, CA 92223-7329 | 2007-02-07 |
| 1598371312 | Nutritional Mindfulness LLC | Dietitian, Registered | 6540 Merrick Ln, Beaumont, TX 77706-8000 | 2020-09-17 |
| Find all providers in BEAUMONT | ||||
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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.