Kelly Sarah Schooley, RD LD/N CLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 5836 Issued in FL

Practice address

5322 N Pearl St
Jacksonville, FL 32208-5119

Phone

(904) 253-2533

NPI assigned

Nov 30, 2010

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

• Ms. Kelly Sarah Crenshaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1376845172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 NIGHTSCAPE CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241618",
            "telephone_number": "904-307-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 N PEARL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085119",
            "telephone_number": "904-253-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOLEY",
        "first_name": "KELLY",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "RD LD/N CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CRENSHAW",
            "middle_name": "SARAH",
            "prefix": "MS.",
            "credential": "RD, LD/N, CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonja L Schoeppel, M.D.
• Karen Scholl, CRSS
• Erin M Scholz, MS CCC-SLP
• Jared J Schommer, MD, PHD
• Duane Lundberg Schonlau, MD
• J Kenneth Schoolmeester II, MD
• Edward Henry Schott, D.C.
• Gregory Ray Schott, PA-C
• Joel Schrank, MD
• Mark Conrad Schreiber

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.