Pamela Jean Kelle, RDN, CEDRD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000000827 Issued in TN

Practice address

1238 Hanover St
Chattanooga, TN 37405-3020

Phone

(423) 991-3422

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Jean Kelle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1003394958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 HANOVER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053020",
            "telephone_number": "423-991-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 HANOVER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053020",
            "telephone_number": "423-991-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLE",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "RDN, CEDRD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000000827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KELLE",
            "middle_name": "JEAN",
            "credential": "RDN, CEDRD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Keith
• Mary Keith
• Callie Kell, M.A., NCC
• Carol Kell, LPN
• Wanda Kell, LPN
• Sonja B. Kelleher, M.D.
• Bradley S. Keller, CRNA
• Angela Denise Kitchens Kelley, RN, MSN, GNP-BC
• Elisabeth Kelley, ATC
• Mary Beth Kelley

• Registered Dietitian in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.