Kelly L Devine, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004722 Issued in IL

Practice address

10847 W Laporte
Mokena, IL 60448

Phone

(708) 608-9014

Fax

(708) 377-0060

NPI assigned

Sep 9, 2007

Sex

Female

Sole proprietor

No

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 L Devine Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Devine Nutrition Inc

  • Clinic/Center
  • Palos Hills, IL
  • NPI 1982012241
  Medicare reassignment Authorized official
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD (past)

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1003001405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 CHARLESTON ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522626",
            "telephone_number": "708-612-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10847 W LAPORTE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "708-608-9014",
            "fax_number": "708-377-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 W College Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "604651444",
            "country_code": "US",
            "telephone_number": "708-608-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MS, RDN,  LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DEVINE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MS RDN LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Remy Demaertelaere, DO
• Molly Demereckis, BCBA
• Dental Professionals of Illinois, P.C.
• Kelly Derr, LCSW
• Kelly Kathleen Devereux, M.S. CCC-SLP
• Jeffrey Brian Devries, L.C.S.W.
• Julie Elizabeth Di Novo, FNP
• Diagnostic P.E.T. Network, LLC
• Diagnostic Services Associates, LTD.
• Dialysis Centers of America - Illinois, Inc.

• Registered Dietitian in Mokena, IL
• Providers in Mokena, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.