JESSICA KELLEY (NPI# 1821502055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821502055 |
| Entity Type | Individual |
| Full Name | JESSICA KELLEY |
| Credential | NUTRITION THERAPIST |
| Practice Address |
65 Oliver St Rockland ME 04841-2226 |
| Practice Telephone | 9709039271 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | CO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366944910 | Jessica Rhyan Kelley | Pharmacist | 1207 Mount Vernon Rd, Fort Lawn, SC 29714-8696 | 2018-02-28 |
| 1063816726 | Jessica Kelley | Counselor | 720 Wayne St, Traverse City, MI 49684-1493 | 2014-10-09 |
| 1154676930 | Jessica Hart Kelley | Physical Therapist | 6404 Rolling Hill Rd, The Colony, TX 75056-3736 | 2012-07-18 |
| 1750533105 | Jessica Eve Kelley | Counselor | 10455 Franklin Ln, Wilmer, AL 36587-9336 | 2008-10-16 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1508474008 | Jessica Kelley | Case Manager/Care Coordinator | 405 E. Excelsior, Vinita, OK 74301-4226 | 2020-07-21 |
| 1114409810 | Jessica R Kelley | Physical Therapy Assistant | 411 Alabama Ave, League City, TX 77573-2615 | 2018-08-30 |
| 1740712777 | Jessica Kelley | Registered Nurse | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2017-03-29 |
| 1922551324 | Jessica Kelley | Nurse Practitioner | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2016-08-02 |
| 1780039990 | Jessica Kelley | Family Medicine | 700a Progress Pl, Laurinburg, NC 28352-5545 | 2016-04-26 |
| Street Address |
65 OLIVER ST |
| City | ROCKLAND |
| State | ME |
| Zip Code | 04841-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102871 | Rockland Medical Supplies | Durable Medical Equipment & Medical Supplies | 235 Camden St Ste 32 #182, Rockland, ME 04841 | 2017-09-08 |
| 1972927747 | Maryann B. Guernsey | Social Worker | 75 Mechanic St Ste 206e, Rockland, ME 04841 | 2014-02-13 |
| 1235467580 | Arvind Patel | Family Medicine | 166 New County Rd, Rockland, ME 04841 | 2009-11-25 |
| 1134305501 | Wanda Johnson | Social Worker | 91 Camden Street, Suite 206, Rockland, ME 04841 | 2008-01-16 |
| 1336356351 | Lynn T. Lackoff | Occupational Therapist | 116 Tillson Avenue, Knox County Cds, Rockland, ME 04841 | 2007-05-17 |
| 1326250812 | Susan C. Righthand | Psychologist | 120 Tillson Ave., Rockland, ME 04841 | 2007-05-04 |
| 1043437981 | Scott D Archer | Pharmacist | 28 Park St., Rockland, ME 04841 | 2007-04-20 |
| 1770642175 | William Vincent Coppola | Optometrist | 20 Oak St., Rockland, ME 04841 | 2006-12-08 |
| 1407936669 | Mary-ellen Ostherr | Counselor | 17 Masonic Street, Rockland, ME 04841 | 2006-10-16 |
| 1053330910 | David Arthur Theriault | Dentist | 19 Summer Street, Rockland, ME 04841 | 2006-07-19 |
| Find all providers in zip 04841 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674340 | Cami Renee Smalley | Nutritionist | 34 Congress St Apt 1, Portland, ME 04101-3665 | 2020-06-17 |
| 1396970588 | Megan Fraser | Nutritionist | 10 Willow Way, Brewer, ME 04412-1339 | 2009-05-18 |
| 1396955654 | Denise Lise Madore | Nutritionist | 2 Colawicki Dr, North Yarmouth, ME 04097-6752 | 2007-05-23 |
| 1720638992 | Tidewater Nutrition & Wellness LLC | Nutritionist | 52 Cove St, Portland, ME 04101-2514 | 2019-09-18 |
| 1376948786 | Jamie Stern | Nutritionist | 61 Main St, Bangor, ME 04401-6397 | 2014-10-28 |
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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.